Patient Information

First Visit

Please feel free to complete our paper work at home by downloading a printable PDF. Just click on the form you would like to download.

Office Policy

I provide the most comprehensive periodontal therapy that will be accepted with gratitude and appreciation. I strive for excellence in every aspect of your periodontal treatment. I know that sometimes compromise is necessary, but I will always do my very best. I respect your appointed time, and make every effort to stay on schedule. If you have an immediate dental problem that we cannot treat, we will refer you to an office for the appropriate treatment.

Insurance Policy

We have prepared this section to help you better understand the complexities of dental insurance; we realize how confusing it can be. To begin, we would like to highlight a misconception- dental insurance was not designed to pay for all dental care. Most contracts have limits and/or various degrees of co-payment.

All levels of payment by insurance companies, including allowed fees, usual and customary (UCR), are governed by the premiums paid. They have nothing to do with the actual charges. Our fees are based upon a combination of our costs, our time, and our constant dedication to supplying our patients with he highest quality dental care. The treatment recommended by our office is never based on what your insurance company will pay; your treatment should not be governed by your insurance contract.

However, it should be understood, that the dental insurance contract is between the insurance company and the patient, who bears the ultimate financial responsibility.

We hope this information has been helpful. Please take the time to review your contract thoroughly so we may best serve you. As always, you may feel free to ask any member of our staff for clarification on services, billing, and insurance.