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When you schedule to visit our office you will be asked to complete a thorough health history form.  This is to provide better assessment of your oral health needs.  Many medical problems can directly or indirectly affect the health of your mouth.  Therefore, it is very important that you keep us informed of any new medical conditions or changes in your health which occur between visits, including changes in your medications. 

Our Financial Policy

We require payment at time of service.  Our office accepts cash, check, MC/VISA, Discover Card and American Express.  Extended payment options are available with Care Credit. 

As a courtesy to you, we will file your insurance and accept assignment of your benefits.  We do require that your estimated share be paid at the time that services are rendered.  If your insurance carrier does not remit payment within thirty days, the balance will be due in full from you.  If, at a later date, any payment is subsequently made by your insurance carrier in excess of the balance we estimated, we will promptly refund the amount.

Minor patients of divorced or separated parents:  In the case of divorce or separation, the party responsible for the account prior to the divorce or separation remains responsible for the account.  After a divorce or separation, the parent authorizing treatment for a child will be the parent responsible for those subsequent charges.  If the divorce decree requires the other parent to pay all or part of the treatment costs, it is the authorizing parent's responsibility to collect from the other parent.