Patient Information
Before the visit:
To expedite your first visit, please print the following documents, sign where appropriate, and bring to our office.
- click here for our Health History Form
- click here for our HIPAA Privacy Policy
- click here for our HIPAA Policy Acknowledgment
- click here for our Financial Policy
Become familiar with your insurance carrier through these sites.
We are a Premier Provider with Delta Dental!- Aetna
- Blue Cross Blue Shield
- Cigna
- Delta of MI, OH & IN
- Delta of CA, DE, WV, NY, PA & District of Columbia
- Guardian
- Met Life
- Principal
Payment Options:
We accept cash, check and major credit cards including Master Card, Visa and Discover.
Patients may pay online with credit card, checking accounts or savings accounts by logging in here. If you do not have a login and password yet, just email us and we will provide you with one.
We’re also pleased to offer our patients the CareCredit® card, North America’s leading patient payment program. CareCredit is the credit card exclusively for healthcare services. You’ll get low monthly payments for healthcare procedures not commonly covered by insurance, including dental procedures. Plus, you can use your card over and over for follow-up appointments.
Learn more by visiting CareCredit.com or contacting our office. Ready to apply? Apply online for your CareCredit card today.
