Online Patient Registration
You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
Prior to your root canal treatment we request that every patient be seen for a consultation visit. This visit offers many benefits to you and allows us to:
- Evaluate your medical history which may directly effect your treatment
- Take and review necessary radiographs to establish a diagnosis and treatment decision that will be best for you
- Discuss with you the results of the examination along with estimates of time, fees, and prognosis
- Help you with your insurance questions
- Schedule the appropriate treatment time for your particular procedure
- Prepare for any special needs you may have at your treatment visit
Please remember all patients under age 18 must be accompanied by a parent or guardian at the consultation visit.
We strive to deliver the finest endodontic care at the most reasonable cost to our patients. In order to reduce confusion and misunderstanding between our patients and our practice, we request that payment be made at the time our services are rendered. For your convenience we will accept cash, check, Discover, Visa, Mastercard and American Express. We also provide financing through CareCredit. If you have insurance, please bring your insurance forms with you at the time of your consultation visit and our receptionist will gladly assist you in completing and submitting your claims. Please realize that we provide this insurance billing service as a courtesy to our patients and that you are fully responsible for all fees charged regardless of your insurance coverage.
We deeply appreciate the trust that you have placed in us. We feel the dentist- patient relationship is special and requires mutual respect. All information regarding your treatment is a private matter and will be kept strictly confidential. We will, however, maintain close communication with your referring dentists in order to coordinate your overall dental treatment.