Please use the following forms to save time
- New
Patient Form
- Medical History Form
- Payment Options
We would love for you and your family to be our patients. We will be happy to file all insurances. We do participate with some Delta Dental Plans as well as United Concordia. In order to use another type of insurance, you must be in a PPO not an HMO or DMO. A PPO allows you to see any dentist you prefer. A HMO or a DMO mandates that you must see a participating provider in order to use the insurance. We apologize that we do not accept medicare. Please call with any questions.
- Useful Links: www.ada.org :: www.freelancestar.com :: www.deltadental.com :: www.invisalign.com