Patient Forms
Please take a moment to print and complete the patient information form, and bring it with you to your first appointment:
» Patient Form (Child) [PDF]
» Patient Form (Adult) [PDF]
If you're unable to open PDF files, you can get Adobe Reader® for free.
We are open to serve you, answer questions or schedule an appointment during the following hours:
Monday - Thursday: 7 a.m. – 4 p.m.
Who We Are
We strive to be caring professionals who provide the highest quality orthodontic care possible to achieve a healthy, attractive smile for a lifetime.
Our Values
CARE
We relate to our patients and their families with compassion.
RESPECT
We honor each individual's needs.
SERVICE
We listen to our patients' needs to anticipate and exceed their expectations.
COMMUNICATION
We highly value the patient education process and effective communication with both our patients and their general dentists.
FACILITY
We maintain a state-of-the-art office, utilizing the most current technologies available.
EDUCATION
We are committed to continuously expanding our knowledge and technical expertise in orthodontics.
Appointments
Your scheduled appointment time has been reserved specifically for you. We request 24-hours notice if you need to cancel your appointment. We are aware that unforeseen events sometimes require missing an appointment. After missing your second appointment without notifying us 24 hours in advance, you are subject to being charged an additional fee.
Insurance
Our office is committed to helping you maximize your insurance benefits. Because insurance policies vary, we can only estimate your coverage in good faith but cannot guarantee coverage due to the complexities of insurance contracts. Your estimated patient portion must be paid at the time of service. As a service to our patients, we will bill insurance companies for services and allow them 45 days to render payment. After 60 days, you are responsible for the entire balance, paid-in-full. If you have any questions, our courteous staff is always available to answer them.