Patient Forms

New Patient Forms


Your first visit will consist of a medical history review, necessary X-rays and a comprehensive dental exam, including an oral cancer check, TMJ exam, check for cavities and screening for gum disease. Then, if we find tooth decay or something else that requires attention, we will create a treatment plan for any work you will need. We will also determine what type of cleaning you need depending on the results of your gum disease screening. With your permission, we will then schedule necessary appointments. Please assist us by providing the following information at the time of your consultation:

  • X-rays taken by a previous dentist, if applicable
  • List of medications you are presently taking
  • Your dental insurance completed forms to save time & help us process claims
  • Information about medical conditions that may be of concern prior to treatment (e.g., diabetes, high blood pressure, artificial heart valves or joints, rheumatic fever, etc.) or if you are currently taking any medication (e.g., heart medications, aspirin, anticoagulant therapy, etc.)

CareCredit health, wellness and beauty credit card

For dental procedure financing

Think of CareCredit as your own health, wellness and beauty credit card. Whether it's oral surgery, getting a crown or a general check up, you shouldn't have to worry about how to get the procedures you want. That's why we're pleased to accept the CareCredit health, wellness and beauty credit card. CareCredit lets you say "Yes" to recommended surgical and non-surgical dental procedures, and pay for them in convenient monthly payments that fit your financial situation.

CareCredit is a healthcare credit card that helps you pay for treatments and procedures for you or your family that may not be covered by insurance. With special financing options* You can use your CareCredit card again and again for your dental needs, as well as at 200,000 other healthcare providers, including dentists, optometrists, veterinarians, ophthalmologists and hearing specialists.

It's free and easy to apply and you'll receive a decision immediately. If you're approved, you can schedule your procedures even before you receive your card. With more than 21 million accounts opened since CareCredit began nearly 30 years ago, they are the trusted source for healthcare credit cards.