Relax, We're Here To Help.
When you come in, we'll ask you to fill out a patient questionnaire and medical history. These forms are important - they help determine the course of your treatment. We have to know about allergies, sensitivity to anesthetics, long-term medications - your whole health picture. For your convenience these forms are available below.
In addition, if you have dental insurance we ask that you would provide a copy of your card and filing information. We ask that you update this information on an ongoing basis once you've established yourself as a patient. The information on file will by used unless otherwise stated by the patient.
Then we'll need an hour or so to examine your teeth, gums, jaw alignment, and soft tissues. We'll take x-rays to find areas of infection that need treatment, and, if necessary, hard cast models will be made to examine your bite. The exam includes a blood pressure check and oral cancer analysis - again, to assess your total health. We look forward to meeting you!
- Download Individual Forms, And Bring To Your First Visit.
- New Adult Patient Form
- New Child Patient Form
- HIPAA Privacy Notice
- Our Financial Policy
- Premed Decision
- Sleepiness Scale Form
Fees & Insurance
Just as we are committed to providing you with quality dental care, we are concerned with keeping your costs reasonable. One way we accomplish this is by eliminating costly billing procedures and requesting payment at the time of your visit. We accept Visa, Mastercard and Discover. Financing is also available through Care Credit. 3, 6, 12, 18 months interest free options are available.
Dental Insurance:
Many companies in our area provide dental insurance for their employees. If you are covered by dental insurance, payment will be easy for you. We will file your claim and, in most cases, accept assignment of payment. You will only need to pay your deductible and the percentage required by your policy. We participate in Delta Dental of Iowa.
Payment Plans:
We are always willing to discuss payment plans with you. Feel free to ask about a program to meet your need for cosmetic or reconstructive surgery.
