Patient Forms

This is extremely useful in advance as we can confirm coverage with your insurance carrier prior to your arrival on the day of your appointment.

As much information as you have is greatly appreciated. To get an accurate idea of your plan, though, the following information is needed:

• your dental insurance name
• the full name (as your insurance spells it) and date of birth of the subscriber (the person who holds the insurance)
• the subscriber’s employer the plan is through
• your member ID number
• the plan’s group number
• the insurance’s phone number

All of this information is either located on your dental insurance card or in your packet of information sent to you by your insurance company after you enrolled in your plan. If you have questions, feel free to call us or bring your information to us, or call your insurance company to get direct answers.