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For Patients

Your First Visit
We're pleased you've chosen our team as your dental provider. You will feel comfortable in the relaxing environment our office provides. We look forward to helping you regain or maintain a healthy smile. Plan to spend approximately an hour and a half at your first appointment. After reviewing your medical history, taking digital X-rays and discussing your expectations and concerns, Dr. Edeen will discuss treatment options that meet your needs. After gathering this information we will determine what type of cleaning is best for you, and we will introduce you to one of our two hygienists.

 

Registration and Patient Forms
Your time is very valuable, and we respect that! Please take a few minutes to download and complete these forms at your convenience and bring them in for your first visit. If you are unable to download these forms, we ask that you arrive 15 minutes prior to your scheduled appointment time.

 

PDF Patient Registration
PDF Medical History
PDF HIPPA
PDF Financial Agreement

 

 

 

 

Other Forms
PDF Release of Information
PDF HIPPA Authorization

 

 

Dental Insurance
We will be happy to answer your questions about insurance coverage. We file out of network insurance claims, and Dr. Edeen is in network with Dental Service Corporation and United Concordia. Our office accepts assignment of dental benefits, which means that you will pay your portion (copay or deductible) at your visit, and we'll receive direct reimbursement from your insurance company for their portion. We are out of network for any Delta Dental plans; however we will still file the claims for you, but do ask for payment at the time of service since Delta Dental sends their payments directly to you.

 

Payment & Financing
We have many payment options available to you. You may pay for your dental care with cash or check and receive a discount. We also accept Discover, MasterCard, or Visa. In addition, we also offer CareCredit patient financing. This reputable institution offers low and no interest loans to qualified applicants. Apply in person at our office or apply online and receive results for your application immediately.

 

Care Credit

Learm more about CareCredit at: www.carecredit.com