New Patient Forms

Please download the new patient forms to help speed up your first visit. We look forward to serving you!

New Patient Information form

Financial Agreement Form

Patient Consent Form

  1. Click the download button
  2. Print out the download forms
  3. Fill them out as much as you can
  4. Bring them to your first visit

Accepted Insurances

  • Metlife
  • Delta Dental
  • Aetna
  • Blue Cross Blue Shield
  • Careington
  • Cigna
  • Dentemax
  • DMBA
  • Educators Mutual
  • Guardian
  • Humana
  • PEHP
  • Select Health
  • Dental Select ( Platinum & Gold )
  • United Concodia
  • United Healthcare
  • TDA
  • Dentist Direct
  • DenteMax
  • Federal BCBS

In-house Dental Plan

We offer our uninsured patients an in-house dental plan for affordability and flexibility. Please download the application form below.

Click here to download