Patient Resources

New Patient Forms

All your new patient forms are all easy fillable through our online platform. Once you start the process of booking your appointment online, you'll be prompt to fill all of the forms below. If you are having trouble or have any issues with the forms, please feel free to contact our friendly team members.

ADULT

CHILD

insuRances

As part of our commitment to providing high-quality, accessible care, we accept a wide variety of insurances. If your provider is out-of-network, we’ll gladly submit a claim on your behalf. Questions about insurance? Our expert team is here right now to help! Fill out the insurance verification form and we’ll be happy to help you make the most of your insurance benefits.

$295 New Patient Special

First visit? No insurance? Get everything you need (and more!) to get your oral and overall health on the right path with our truly comprehensive New Patient Special.

  • Exam
  • X-rays
  • Toothbrush kit
  • Waived setup fee when you sign up for our in-house membership

Please do not submit any Protected Health Information (PHI).

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Join our In-House Dental Plan

from $39/month

Looking for an affordable way to keep your oral health in check without relying on insurance? We're here for you! With plans for kids, adults, and individuals with periodontal disease, we have something for every member of the family.

  • Professional Cleaning
  • Doctor Exam
  • Annual X-Rays
  • 20% Off Most Services
  • $25 Rollover Reward
  • Additional Add-Ons Available