Information for Patients

Patient Forms

Please download and fill out the forms below and bring them with you to your first visit.

Patient Registration and Medical History Form

Health Questionnaire

Notice of Privacy Practices

Notice to All Patients with Insurance

Dental Materials Fact Sheet

Dental Materials – Advatnages and Disadvantages

Acknowledgement of Receipt of Dental Materials Facts Notice

Free Acrobat Reader is needed to view the forms. You can download it here.

Financial Information

CareCredit ApplyWe are proud to accept all insurances to help you cover the cost of necessary dental treatment. Additionally, we are in-network with the following insurances: Cigna, Delta, MetLife.

We also accept payments in the form of cash, credit cards, and checks. CareCredit is another option that we accept. This is healthcare financing that can help you cover out-of-pocket expenses such as insurance deductibles or treatments not covered by your insurance. CareCredit can also help uninsured patients with their costs.

Please call us at (916) 817-8799 for any questions.

Reserve a Time for Your Smile!

Call (916) 817-8799