For Patients
helpful information
Thank you for your interest in our services.
Patient forms & information
Call us today and let us answer any of your questions!
Make an appointment today!
When you arrive for your first visit, please be prepared to complete all insurance and health information forms that will allow us to begin your dental treatment. We will ask you to fill out several forms that will get you acquainted with our office.
Your initial exam will last approximately one hour. Oral hygiene instructions will be provided along with suggestions to help you care for your teeth. In most cases, we will also clean your teeth on this visit and provide an evaluation that will outline any existing dental problems and proposed treatment.
Call Now 816-454-7422
financial options
Your treatment plan will include a breakdown of all applicable fees, and we will inform you of all costs before treatment is administered. Charges are payable at the time of treatment.
We offer the following payment options:
Cash
Check
Visa, MasterCard and Discover credit cards
Financing through CareCredit
Discount offered to Senior Citizens
If special arrangements are needed, please talk to our office manager prior to receiving service.
Insurance
Additionally, we will submit all insurance claims for you. We will fully attempt to help you receive full insurance benefits; however, you are personally responsible for your account, and we encourage you to contact us if your policy has not paid within 30 days.
patient forms
You may access the following forms to assist us with your care. Please complete the following forms, and click the “Submit” button at the bottom of each form.
Child New Patient Form
Adult New Patient Form
emergencies
Your treatment plan will include a breakdown of all applicable fees, and we will inform you of all costs before treatment is administered. Charges are payable at the time of treatment.
We offer the following payment options:
Cash
Check
Visa, MasterCard and Discover credit cards
Financing through CareCredit
Discount offered to Senior Citizens
If special arrangements are needed, please talk to our office manager prior to receiving service.
Insurance
Additionally, we will submit all insurance claims for you. We will fully attempt to help you receive full insurance benefits; however, you are personally responsible for your account, and we encourage you to contact us if your policy has not paid within 30 days.
client testimonials
view our gallery
Are you curious about the quality of our dental care in Somewhere Town, State? Feel free to view our gallery!
Experience the Difference!
Give us a call or set up an appointment today.
We strive to provide the best possible dental care to our patients as part of maintaining their overall health. We will use the latest in technology, the highest degree of sterilization and safety protocols, and warm, caring and highly trained staff to ensure our patients’ overall satisfaction.
