Patient Forms


  • UnitedConcordia 100
  • Guardian 100
  • aetna100
  • AFLAC100
  • cigna 100new
  • teamcare 100
  • DeltaDental 100
  • humana 100
  • Assurant100
  • bcbslogo 100
  • UnitedHealthcare 100
  • metlife 100

We do our best to make it easy for you to get the beautiful smile you deserve.  We accept cash, personal checks, and major credit cards. We offer a bookkeeper's discount for cash payment.  Our office accepts nearly all major insurance plans.  Even though dental insurance is a private arrangement between you and your insurance provider, we will file your claim, handle all the paperwork, and help you get maximum insurance benefits.  Ask us about our easy financing option with Care Credit, an interest-free, flexible monthly payment plan you can apply for right in our office.

To save you time, we have provided our new patient forms for you to print and fill out before your first appointment with us.  We look forward to meeting you and caring for your dental needs. 

  • We are partnered with which offers credit and flexible payment options offering you choices on budgeting dental health care needs.
  • As a courtesy to our patients, we are happy to submit all insurance forms for you and help maximize your benefits. If you do not see your insurance plan on the list below, call our office today.
    • Aetna
    • Aetna
    • AFLAC
    • Assurant
    • Blue Cross Blue Shield
    • Central States SE & SW Health & Welfare
    • Delta Dental
    • Guardian
    • Humana
    • MetLife
    • TeamCare
    • United Concordia
    • United Healthcare