For your convenience you can complete our Patient Medical Form and HIPPA Form in advance. Our form is in PDF format. If you do not have Acrobat Reader installed just click on the button below. When you have Acrobat Reader just print the form, fill it out and bring it in on your first appointment.

 

Treatment Financing

The amount of needed investment for a new smile has a wide range that varies from person to person depending on the situation and the individual’s desire. We have the technology, skill and goal to provide optimal solutions in the most conservative possible way.

Most insurance providers do not cover cosmetic dentistry, but it is a good idea to check with yours. However, if the restoration takes the place of an old crown or filling, that portion is often covered by insurance. Since most procedures that are considered “elective” or “cosmetic” are not covered, it may be a tax deduction please check with your accountant.

Since our primary goal is your utmost comfort, we offer several ways for you to plan your treatment. All major credit cards are accepted, as well as personal checks.

For elective cosmetic procedures, phased treatment planning is also an option.

We also offer convenient terms to make payment arrangements more comfortable for you. We have a no-interest monthly payment plan for large cases.

Please call if you have any questions.

Your payment options are:

* Cash, Personal Check or Money Order

* Master Card, Visa, Discover or American Express

* CareCredit Payment Plan (affordable monthly payment plan – see below)

As a service to our patients, we are pleased to offer the CareCredit card, the nation’s leading patient payment plan.

CareCredit lets you begin your treatment immediately – then pay for it over time with low monthly payments that are easy to fit into your monthly budget.

So, you can begin your dental care treatment today and conveniently pay with low, monthly payments.

CareCredit offers a full range of No Interest and Extended Payment Plans for treatment fees from $350.00 to over $25,000.00.

No Interest Payment Plans

* No interest if the balance is paid within the specified time period

* Low minimum monthly payments

Extended Payment Plans

* 24, 36, & 48 month plan options [Click for Details]

* For procedure fees from $1,500 to over $25,000

* 14.9% interest rate

* Monthly payments as low as $41 for a $1,500 fee balance

With CareCredit, you pay no up-front costs, no pre-payment penalties and no fees.

Plus, CareCredit is a revolving credit line for additional treatment or add-on charges, without the need to re-apply.

It only takes a few minutes to apply for CareCredit and you may receive an online decision in seconds!

Apply now or see our staff for more details.