Forms & Financing

New Patient Forms

For your convenience, we provide you with all your new patient forms here on our website, so you can fill them out when it makes sense for you. Save yourself valuable time in the waiting room and complete your forms before your visit!

Choose a care plan that best fits your needs

About Our Membership Plan

  • Includes cleanings, exams, and routine x-rays at no additional cost.
  • Provides exclusive discounts on procedures.
  • Benefits start immediately and membership runs for 12 months from the date you join.
  • No deductibles, waiting periods, annual maximums, denials of claims, or pre-approvals.
Child Complete
Ages 0 - 13

$ 25 /mo

2 Professional cleanings and checkups
2 Professional cleanings
2 Regular exams
2 Fluoride treatments
Routine x-rays
1 Emergency exam

Save 20% on procedures completed at our practice.

Save 5% on subscriptions for family members

Seniors save 25% on procedures completed at our practice.

Adult Complete
Ages 14+

$ 35 /mo

2 Professional cleanings and checkups
2 Professional cleanings
2 Regular exams & screenings
Routine x-rays
1 Emergency exam

Save 20% on procedures completed at our practice.

Save 5% on subscriptions for family members

Seniors save 25% on procedures completed at our practice.

Perio
Ages 14+

$ 55 /mo

3 Perio maintenance procedures and checkups
3 Perio maintenance
2 Regular exams & screenings
Routine x-rays
1 Emergency exam

Save 20% on procedures completed at our practice.

Save 5% on subscriptions for family members

Seniors save 25% on procedures completed at our practice.

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