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Patient Forms

Trustworthy. Advanced. Focused On You.

Our New Patient Forms are now available for download so you can complete them at your leisure - saving you time waiting in our office and giving you time to carefully review our policies and procedures.

If you would like to complete the form before arriving at our office, please click the link below to download the form in PDF format. You may print out the form and bring it to your first appointment.

Download Adobe Reader

Our printable forms require Adobe Acrobat Reader to view. If you do not have Adobe Acrobat Reader, you may click the link above for a free download.

Payment Options

We are committed to providing quality and affordable dental health care. You have multiple options for payment available. For your convenience we accept cash, money orders, participating insurance, major insurance, and all major credit cards.

If you would like to extend payments over a longer period of time, we offer CareCredit. Click on the CareCredit logo below for more information.

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We understand that unexpected dental bills can strain finances. If this happens to you, don't hesitate to call us at (205) 988-5656. For questions about payment and financing, please contact our office. We are happy to help!