PATIENT FORMS
Save time at your first appointment by completing your patient registration forms in advance. These forms will be sent to you via text and email, allowing you to fill them out at your convenience before arriving at the office.
Ensuring your information is complete ahead of time helps us stay on schedule and reduces your overall wait time. If you have any difficulty accessing your forms, please contact our team—we’re happy to assist.
Existing patients are required to review and update their forms annually to ensure all medical and contact information remains accurate and up to date.
Appointments
As a surgical practice, treatment times can vary. While occasional delays may occur, we make every effort to stay on schedule and minimize wait times for our patients.
We ask that all new patients and surgical patients arrive 15–20 minutes prior to their appointment to allow time for required paperwork. If you’re unsure whether you need to arrive early, please contact our office.
Late Arrival Policy: We kindly ask patients to arrive on time. Late arrivals may need to be rescheduled to ensure the quality of care and respect for all scheduled patients.
Please provide at least 72 hours’ notice if you need to cancel or reschedule your appointment. Missed appointments without notice may result in same-day scheduling only for future visits.
First Visit Information
Please be aware that there is an out-of-pocket cost for the initial consultation, as most insurance plans do not cover this visit and often have significant frequency and limitations to this appointment.
Consequently, patients are asked to pay a copay prior to the appointment. Should your insurance cover the consultation, the amount paid will be subtracted from our patient responsibility and any remaining credit will be promptly refunded or put toward your recommended treatment plan.
Your initial appointment will consist of a consultation and any radiographs we need to properly diagnose. We will review your diagnosis and treatment options with you. Occasionally, treatment can be performed the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.
Please assist us by bringing the following to your consultation: any recent X-rays from your previous dentist, a list of medications you are currently taking, and your dental insurance information (if applicable).
This information helps us gather everything needed to properly diagnose, recommend treatment, and process insurance claims if applicable. Please note, if the X-rays provided are over one year old or are not diagnostic for our needs, additional X-rays may be taken at the time of your appointment.
Surgical Appointments
We ask that all surgical patients arrive 15–20 minutes early to complete necessary pre-operative documentation. Please have a list of all current medications and allergies ready for review.
For any Friday or Saturday appointments, a $200 deposit that will be credited towards your out of pocket total is required to hold your appointment. If you fail to show or cancel less than 72 hours prior to your appointment time, this deposit will be non-refundable.
Because these surgical appointments are limited, our office needs sufficient time to offer the opportunity to another patient if you are unable to attend. This helps us provide timely care to patients in need and use our schedule as efficiently as possible.
Hygiene Appointments
Regular cleanings are essential for maintaining your oral health and preventing periodontal disease.
Arrival Time: Please arrive at least 10 minutes prior to your hygiene visit to review your medical history and insurance status. Prompt arrival ensures you receive your full treatment time.
Please note that per office policy, patients are required to see a doctor in our office at least once per year if they continue to see us for hygiene services. This ensures we can monitor your overall dental health effectively and address any concerns promptly.
Patients with active periodontal disease or a history of periodontal treatment are recommended to see their hygienist every 3 months. We do ask that you alternate these visits with your general dentist, as each office is evaluating different aspects of your oral health. It is important that you see both offices and providers at least once a year for a comprehensive exam. While we would love to see you for all your cleanings, we must ensure we have space for all of our patients and that you receive complete care on both the restorative and periodontal sides of your treatment.
Notice Period: We require 72 hours' notice for rescheduling hygiene appointments. Due to high demand for cleanings, this notice allows us to offer the time to other patients on our waiting list.
Insurance & Finance
We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service is rendered unless other arrangements have been made in advance.
While we participate with select networks, we also welcome out-of-network benefits and will handle all claim submissions for you.
Please note that certain out-of-network plans deliver reimbursement directly to the patient rather than the provider. In these instances, full payment is due when services are performed, and you can expect your insurance company to mail your reimbursement check within roughly 6–8 weeks.
For all patients we will do our best to give you the most accurate cost estimate as possible however it is your responsibility to know your plans limitations. We will do our best to obtain payment from your insurance however, you will be responsible for any unpaid balance left after insurance.
Until January 2027
Billing & Payment Policy
By proceeding with treatment, you acknowledge financial responsibility for services rendered.
Any balance remaining after insurance has processed is the patient’s responsibility and is due within 30 days of the statement date. If you are unable to pay your balance in full, we encourage you to contact our office to discuss payment arrangements. Accounts that remain unpaid without communication may be subject to additional collection efforts.
We offer financing options through Cherry and work with CareCredit to help make treatment more manageable. If you are unable to pay your balance in full, we encourage you to contact our office to discuss available payment options.
You can also pay your balance by Check, Cash, or by credit card by calling the office or through our bill pay link on our website.