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
Notice to All Patients with Insurance
Dental Materials – Advatnages and Disadvantages
Acknowledgement of Receipt of Dental Materials Facts Notice
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Financial Information
We 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.