Patient Information and Pricing

Patient Info

What to Bring to the Appointment

  • The patient’s insurance card
  • Physician referral (only if required by insurance)
  • A list of current medications the patient is taking, including dose and frequency
  • The patient’s medical and dental history (see forms below), including X-rays

Patient Forms

We are pleased to offer you the opportunity to complete the forms on your computer (you can type directly onto the form), then PRINT THE COMPLETED FORMS and bring them with you to your appointment to help reduce your waiting time. If you have any questions about these forms, please contact us at the practice directly.

Patient Information Form

Health History

Insurance Accepted

We accept most major insurance plans. However, you must check with your own insurance carrier regarding coverage. Also you may call our office for assistance.


Because this procedure is so widely needed, it is important to us that people be able to afford it. It is our mission to provide the same quality care to all patients, whether or not they have insurance. Our overriding goal is to provide a quality service to ALL at a fair price.