Patient Forms & Accounts

Record Transfer Request
Download this form if you would like a copy of your records for yourself or another dentist.
 
Your Online Account
Create or login to your PATIENT ACCOUNT to 
Pay a bill
Update your personal information
Update your medical & dental history
(It may take one business day for your account to be created and your information updated.)
 
Payments
 
A 5% discount is given for payment in full at time of service.
 
We accept MasterCard and Visa.
 
Payment Plans are available through Care Credit.
 
To make a Care Credit payment online, click Pay Now button. 
 
Notice of Privacy Practices
The privacy of your health information is important to us. Read our Notice of Privacy Practices.