Forms & Insurance
Payment and Insurance Information
We accept most insurances and are in-network with several insurance plans. Medicaid and DHMO plans do not pay at our office. We also accept cash, check, Visa, MasterCard and Discover for treatments in our office. Please contact us if you have any questions about coverage, insurance benefits or payment options.
Whether your child is a new or current patient to our office, we want to ensure that your visit is as efficient as possible. We offer submittable, online fillable patient forms for your convenience. Complete our patient forms below and submit them virtually through our HIPAA compliant network prior to your child’s appointment.
NEW PATIENT FORMS
ESTABLISHED PATIENT FORMS
NOTICE OF PRIVACY PRACTICES
PATIENT REFERRAL FORM