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New Patients

Appointments

At Whole Health Dentistry, we recognize how valuable your time is. We will do our best to see you at the time of your appointment. On occasion, we have patients who call with emergencies. We treat patients in pain as emergencies and appreciate your understanding in these circumstances. If you are unable to keep your scheduled appointment, we must have a minimum of two business days' notice in order to allow another patient to fill the time that has been set aside for you. Failure to let us know of your cancellation a minimum of two business days in advance could result in a charge of $50.00 per hour. We appreciate your consideration regarding this appointment policy.

Insurance

If you have insurance, please let us know. Carriers vary, but we will assist you in getting the most benefit out of your particular policy. We will be happy to prepare a claim and mail it to the provider on your behalf. PLEASE KEEP IN MIND THAT YOU ARE RESPONSIBLE FOR ANY CHARGES NOT COVERED BY YOUR INSURANCE CARRIER. We do ask that you pay your estimated portion at each visit. Payments by some insurance companies will be mailed directly to you.

Some insurance companies require a dentist to join their plan in order to receive assignment of benefits. We have chosen not to join any of these plans. Our mission is to provide the best possible treatment for each patient without interference from a third party. We will accept assignment of benefits, if your insurance plan allows it.

If you do not understand your insurance benefits, it is best that you ask your HR Department or Insurance Representative. Otherwise, bring your insurance booklet with you, and we will try to help you.

Payment at The Time Services Are Rendered

We request that patients pay for services when they are rendered. We accept cash, personal checks, MasterCard, Visa, American Express, and Discover. For extended payment options, please ask us for an application for the Dental Fee Plan, offering low interest rate financing for up to 48 months.

Forms

The forms below must be completed for each patient prior to receiving treatment. To save time at the initial appointment, forms may be printed and filled out ahead of time. These completed forms should be brought to the office for the first visit. To open, please click on the link to each form to open. If you are unable to open the above documents, please download the latest version of Adobe Acrobat Reader by clicking here.