Make Your First Visit Easy!
Dear Patient,
Welcome to our practice. We are genuinely pleased that you have chosen
us for your dental care. Our practice realizes the importance of
referrals and we value them greatly. We are always excited to see new
smiles coming through our doors!
At your first appointment, one our doctors will first complete a comprehensive oral examination. This includes a complete review of your medical and dental
history, all necessary radiographs and intraoral photos, oral cancer screening, periodontal health evaluation,
and examination of your teeth and soft tissues. Following this exam,
your dentist will discuss their findings with you, develop a treatment
plan that you are comfortable with, and then you will be scheduled
according to your needs.
You can print out and complete our new patient forms at home before
visiting our office, as well
as providing information about dental insurance coverage
if you have it. Bringing your completed forms in with you will
save time and help expedite your check in process and your first visit. Also, please read our financial policy. Payment is
expected at the time of the first visit. If you are covered by
insurance, we will expect payment of your portion at the time of service
unless prior arrangements are made. As a courtesy, we will file claims
on your behalf with your dental insurance company. If you have any questions about
finances please feel free to ask us at any time.
We ask that you make every effort to keep your appointments. Missing an appointment disrupts proper sequencing of care in many situations and delays completion of your treatment. If
for any reason you need to reschedule your appointment, please call us
at least 24 hours prior to your visit. We very much appreciate your
confidence in us and look forward to meeting with you!
Sincerely,
Modern Family Dental
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New Patient Form
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Preventative, Restorative, and Cosmetic Dental treatment is an excellent investment in an individual's health and well being. Our practice believes that finances should not be an obstacle to obtaining the healthy smile you deserve. We realize that every patient has different needs, that is why we provide several payment options.
CASH OR CREDIT CARDS
We accept major credit cards
INSURANCE COVERAGE
All services rendered are the patients responsibility. As a courtesy to our valued patients, our team will be happy to assist in filing your dental claim on your behalf. Please feel free to contact our office if you have questions regarding financial options. We're here to help you achieve the healthy smile you deserve!