Patient forms
Save time on your next visit! Click the link below to download our patient form. Fill out the form and bring it with you to your next appointment.
Insurance information
We ask that payment be made on day of service. We accept cash, debit/credit card, and Care Credit (call for details).
We are a provider on several different insurance plans and as a courtesy, we are happy to file your insurance claim. If a patient has dental insurance, we ask that the patient’s estimated portion and/or deductible be paid on the day of service.
The following is a list of Insurance Companies of which we are preferred providers and the link to their websites:
- Aetna
- Affordable Family Health Services
- AIG
- Assurant and Fortis
- Ameritas
- Avesis (Medicare Molina)
- Careington (C17, 500, 505, 507)
- Chip
- Cigna
- Connection
- Delta Dental PPO
- Dental Select (gold, platinium and silver)
- DMBA
- Dentegra
- Dentemax
- Dentist Direct
- Educators Mutual (Premier and Advantage)
- Guardian
- Humana Dental (TDA)
- Metlife
- NorthWest Administrators
- Principal
- PEHP
- Premier Access (CHIP)
- Regence Blue Cross Blue Shield
- Regence BCBS Federal
- Select Health
- TDA (PPO)
- United Concordia
- United Health Care