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414.744.0634             
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New Patient & Insurance Information

NEW PATIENT FORMS
To make your first appointment with us as convenient as possible, fill out the attached PDF forms and fax or bring them with you to your first appointment. Our fax number is: 414-744-6031

-New Patient form
-Financial Options form
-Notice of Privacy Practices form
-Notice of Privacy Practices Acknowledgement form

FINANCIAL & INSURANCE INFO
Keeping the cost of dentistry affordable for you and your family is a priority to us. We make every effort to ensure this for you.

  • Cost of treatment will be openly discussed with you, along with treatment options you may have.
  • Treatment plans are routinely filed to your insurance to assist you with their estimated payment.
  • Patient portions due day of service are given a 7% discount for all forms of payment, with the exception of CareCredit. Our office accepts: Visa, Master Card, Discover, personal checks and cash.
  • Monthly billing is available through our office with CareCredit, a national financing group that provides no interest plans for patient care. For more information, and to Apply Online, go to this link.

You can feel confident that every effort will be made by our knowledgeable business staff to assist you in understanding your insurance and in helping to make dentistry affordable for you.
 
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