NEW PATIENT INFORMATION & FORMS

 

 

New Patient Forms

Please download and fill out the child or adult health form and the insurance eligibility form before your first appointment in order to optimize your time with us and not feel rushed.

 
 

 
 

Insurance Information

The following document provides general information about the requirements for filing insurance for orthodontic benefits. Please read if you have orthodontic insurance coverage.

 

 

Payment Information

The following forms of payment are accepted:

  • Cash
  • Personal Check
  • Automatic Bank Account Draft
  • Visa & MasterCard
  • FSA & HSA Debit Cards

Zero interest payment plans are available.  We also offer a bookkeeping courtesy discount to those who opt to make full payment at the start of treatment. We honor treatment fee estimates for three months.