Appointments

Schedule an Appointment

Please fill out the information below and one of our team members will contact you to schedule an appointment time. We look forward to seeing you soon.

Patient First Name:
Patient Last Name:
New Patient: Yes   No
Email:
Address:
Phone:
Preferred Days:
Convenient Times:
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about our practice?
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our web site?:
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Financial Info

Your treatment plan will include a breakdown of all applicable fees, and we will inform you of all costs before treatment is administered. Charges are payable at the time of treatment. We accept Visa, MasterCard and Discover, as well as offer financing options through CareCredit to help make your treatment more affordable.

If special arrangements are needed, please talk to our office manager prior to receiving service.

Additionally, we will submit all insurance claims for you. We will fully attempt to help you receive full insurance benefits; however, you are personally responsible for your account, and we encourage you to contact us if your policy has not paid within 30 days.