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New Patient Forms
For your convenience, you may print the patient forms
below and complete them prior to your appointment. The forms
are in Adobe Acrobat (.pdf) format and are viewable and printable with Acrobat Reader, which is a free program.
If you do not have Acrobat Reader, you may download it from Adobe's website.
Your First Visit
Your first visit will include a comprehensive oral examination
with the appropriate radiographs. We are equipped with both an
intra-oral camera and a digital camera to image your new smile.
We will discuss your needs and wants with possible treatment options
to personalize your treatment plan. You will take home your personal
treatment plan on a computerized printout, including fees and
insurance breakdowns. If your treatment plan is extensive, this
may be done in two visits.
After you have been properly diagnosed and your treatment planned,
we use our CAESY DVD for educational purposes. We feel that one
cannot fully appreciate the value of our services unless they
are understood. It is through education that we may prevent oral
disease and restore you to optimal oral health.
Patient Safety
To protect our patients and ourselves, our staff wears masks,
gloves, glasses and disposable uniform jackets. We strictly observe
all OSHA guidelines. All instruments are cleaned, disinfected
and routinely sterilized as recommended by the American Dental
Association and Centers for Disease Control. Whenever possible,
disposable single-use items are used to ensure your safety. Hand
pieces (drills) are sterilized with state-of-the-art sterilization
units. All surfaces in the treatment rooms are cleaned and disinfected
after each patient. Hygiene
An integral part of maintaining your teeth for life is the
removal of plaque and tartar on a regular basis. The frequency
of your visits is based upon your oral health and individual needs.
During your visit, we will update your medical history, perform
an oral cancer screening exam, check your teeth for cavities,
review oral hygiene instructions, and monitor your periodontal
(gum) condition. Fluoride treatments are provided for children
under the age of thirteen and for adults when appropriate. Patient Comfort
You are not alone if you feel anxious about a visit to the
dentist. We understand and share your concerns and strive to make
every dental visit comfortable for our patients. In addition to
topical and local anesthetics, oral sedation and nitrous oxide
are available for
those patients who may need it. If there is anything else we can
do, please let us know. We are on call 24 hours a day for
emergencies. Fees and Insurance
Our fees are based on the care, skill and judgment necessary
to provide optimal dental care. You will be given an explanation
of costs and time involved for your treatment. We accept all
major PPOs and will
gladly file your insurance claims for you.
Payment Options
We accept all
major credit cards. We will assist you with financial
arrangements if they are needed. Care Credit and Dental Fee
Plan financing options are also available.
CareCredit
The CareCredit card is the nation's leading patient payment
program. With CareCredit, you can finance 100% of your
procedure with no upfront costs, annual fees, interest or
pre-payment penalties. So, you can schedule your procedure
today and enjoy the convenience of low, interest-free
monthly payments. The CareCredit No-Interest
Payment Plan:
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12-month financing plan for treatment fees of
$300 or more
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Interest FREE!
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Low monthly payments
CareCredit is a revolving credit line, so you do not need
to re-apply for any additional procedures you may have in
the future. For more information or to apply now, just click
on the link below.
Dental Fee Plan
The Dental Fee Plan provides you with an affordable
alternative when paying for comprehensive dental treatment.
A variety of payment plans are available to fit your
individual financial circumstances.
The Dental Fee Plan offers:
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No down payment
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Low monthly payments
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Low fixed interest rates
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No pre-payment penalty
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Simple application process
It only takes a few minutes to apply for the
Dental Fee Plan by CapitalOne. For more information or to
apply now, just click on the link below.
Please do not hesitate to
ask any questions about your benefits, our services or our
fees. We are here to help you.
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