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Forms, Insurance and Financial Forms Financial and Cancellation Policy (pdf) New Patient Form (pdf) Privacy Notice (pdf) Payment and Insurance We will work with you to find the payment option that is right for you. We have several financial policy options available for your convenience in receiving the proper dental care. We have found that our patients appreciate knowing exactly what dental financial responsibilities they will incur. Therefore, we will inform our patients about our financial policies before we begin treatment. Knowing this ahead of time allows us all to arrange for the completion of necessary dental treatment. Financial Options include Insurance, Cash, Check, Credit Cards, and Dental Fee Plan. Insurance To better serve you, we accept and file most insurance. This saves you from the hassle of dealing with the mountain of forms and paperwork that most insurance companies require. If you have dental insurance, we will ask you for an estimated payment at the time of your visit depending on the treatment you have received and your insurance coverage. Credit Cards Visa, MasterCard, Discover, and American Express are welcomed. Payment Plans Monthly payment plans are available through Capital One® Healthcare Financesm and Care Credit®. These services offer an easy way to finance treatment plans.