Please complete the 5 forms and click submit. All forms will be reviewed and signed at the office. Thank you.
Finance Options
We do expect payment at the time of your dental treatment. To make this as convenient as possible, we accept cash, check, and the credit or debit cards shown below. If you do have dental reimbursment plan, we submit for direct payment to you immediately at the conclusion of your visit, we do this electronically which greatly shortens the time for that payment to reach you. Also for your convenience, we are pleased to accept patient financing through CareCredit. Please click the link below for more information or to apply.
To discuss your payment options or insurance coverage, please call 845-339-1619.