Patient Information

New Patient Forms:

New patient forms are in Adobe Acrobat (PDF) format. If you do not have the Acrobat viewer, click on the link below to get a free viewer:

Adobe PDFNew Patient Forms



For that portion of costs not covered by insurance, we offer several payment options:

  • Cash or Personal Check
  • Credit Card - We accept MasterCard and Visa.
  • Care Credit Medical/Dental Card - This card allows you to take up to 90 days, interest free, to pay the balance. You can apply in our office.
Care Credit


Dental insurance is intended to cover some, but not all of the cost of your dental care. Most plans include coinsurance provisions, a deductible, and certain other expenses which must be paid by the patient at the time of services. Reimbursement amounts are not, and never have been, a guideline for quality care.

We expect payment in full at time of service, but we will be happy to file most insurance claims for you with the reimbursement going directly to you. Please bring your insurance plan information with you on your first visit. We will work with you to ensure that you receive the maximum benefits to which you are entitled.

If you have any questions about your insurance plan or payment options, please call our office staff at (270) 527-1479 or
e-mail us at