This form, Notice of Privacy Practices, presents the information that federal law requires us to give our patients regarding our privacy practices. This form is sent to you when you schedule an appointment, as well as forms to be signed that indicate acknowledgement of these practices and consent for their use. These forms may also be downloaded here:
It is our policy to receive payment in full as services are rendered. We gladly accept cash, checks, Master Card, and Visa. Many of our procedures require multiple visits to complete, and under these circumstances, it is permissible to divide payment for these procedures over the necessary visits with the balance due upon completion. Please talk to us about your own treatment plan and how payments should be managed.
If you have dental insurance, please fill out the pertinent information on your Patient Registration form. Because we wish to maintain the ability to do what is necessary to render the best treatment for you, we are not participating providers in any insurance plans. It is our policy to receive payment in full from you as services are rendered. We are, however, happy to complete and process all insurance forms and assist you in obtaining your best coverage. Your dental benefit is then reimbursed to you. We will submit insurance pre-estimates for you when appropriate to assist you in planning for your dental expenses.