NEW PATIENTS please complete both PATIENT REGISTRATION and MEDICAL HISTORY forms.
In response to COVID-19, we are taking extra precautions to limit the exposure of any virus in our office and have implemented new safety procedures.
1. Check-in: When you arrive at your appt., remain in your car & call/text us to check in - we will let you know when your chair is ready. There are signs posted in the parking lot with our phone number.
2. Pre-procedural oral rinse: Before beginning any procedure, we give our patients a 1.5% hydrogen peroxide rinse per ADA recommendation. The result is a reduction in the level of oral microorganisms in aerosols and spatter generated during dental procedures.
3. Additional Guests: We ask our patients to limit any additional guests that accompany them to their visit. We are trying to eliminate any unnecessary exposures and minimize use of the waiting room.
4. Travel: Please reschedule your appt. if you have traveled out of the country in the last 14 days.
We will continue to provide the quality of care and maintain our high standards of sterilization and infection control.
For your convenience, we accept payment in cash, check, and credit card. We also accept Care Credit, a third-party financing option that offers payment plans with little or no interest. If you have any questions about our financial policies, please give us a call. We will clarify the payment process for you and help you receive the dental care you need.
Notice of privacy practices
Please email firstname.lastname@example.org to request a digital invoice to pay your bill online.