Your comprehensive initial exam and the associated procedures will last approximately 60-90 minutes. We know that time is of the essence and definitely want to respect yours. Plan on arriving fifteen minutes prior to your appointment. It is extremely important that you respect the appointment time. Please fill out the forms below prior to your first visit.

   Patient Information Form     |     Medical History Form     |     Financial Agreement     |     Privacy Notice

               **Click the submit button at the bottom of each form when finished**

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PAYMENT

Payment is due at the time of service. We accept cash, checks, Visa, Mastercard and Discover. All insurance deductibles and copays  are due on the date of treatment.

EXTENDED PAYMENT PLAN

Extended low monthly payments are available based on credit approval.  Financing is available through Care Credit for periods ranging from six to twenty-four months. Care Credit is a credit card that is used exclusively for healthcare services. For more information, please visit www.CARECREDIT.com.

DENTAL INSURANCE

Dental insurance is a wonderful aid in helping to cover part of  the cost of your dental care. As a convenience, we will file your insurance claims for you. We are Preferred Providers for Blue Cross Blue Shield of Alabama, Southland National, and Premier Provider for Delta Dental. Our office accepts all insurance plans and is a provider for the following: Aetna, Ameritas, Blue Cross Blue Shield of Alabama, Cigna, Delta, Guardian, Humana, Met Life, Principal, Reliance, Southland, United Healthcare. Deductibles and all copays are due on the day of service.