New Patient Forms

Please take a few minutes to print and fill out the patient information forms before your first appointment. Free PDF Reader is required to view the forms.

New Patient Form

Health History Form

Insurances Accepted

We participate with the following insurance plans:

  • Aetna
  • Anthem Blue Cross
  • Carington Care / Platinum
  • Cigna DPPO
  • Dental Network of America (DNOA)
  • Guardian
  • Humana
  • Lincoln Financial
  • Metlife PDP Plus
  • Sunlife
  • United Healthcare (UHC)

Don’t see your insurance on the list? Please call our office and we will verify your specific plan.

Types of Payment Accepted

Our office accepts all major credit cards and Apple/Samsung Pay. We also accept and offer a discount for cash payments.

Major Credit Cards Accepted

Financing Your Treatment

Lending Club: We offer quick financing with Lending Club to help you afford the dental treatments you need and want.

Wells Fargo: You can also apply for financing with Wells Fargo Patient Advantage Credit Card program.

Wells Fargo Program