|
|
![]() |
|
|
|
|
Before Your First Visit
|
New Patient Form
|
Appointment Scheduling
Before Your First Visit: You can make your child's first visit enjoyable and positive by putting your child in the proper frame of mind. Tell your child in advance that someone is going to look at their teeth. It is best if you refrain from using words around your child that may cause unnecessary fear, such as: needles, pull, drill or hurt. Children's Dental Office makes a practice of using words that convey the same message but are pleasant and non-frightening to the child. Comprehensive dental services are available for the child with special needs. New Patient Form: For your convenience when visiting our office, please print the New Patient Health History Form, complete the information and bring it with you to your first visit. To print the form you will need Adobe Acrobat Reader. If you do not have Adobe Acrobat, please click here to download it for free to your computer. Click here to print the New Patient Health History Form. Appointment Scheduling: Appointment times are designed to fit your child's dental needs and help to ensure a positive dental experience. We make every effort to provide you with a convenient appointment.
Finances: Payment for
professional services are due at the time dental treatment is provided.
We accept cash, checks, ATM cards, Visa, MasterCard, Discover, and
American Express. We offer an extended payment plan with prior
credit approval. Payment plans may be set for patients without
dental insurance if more than $300 of treatment is required. Payment
can be made through CareCredit or personal arrangements with your bank or
similar lending institution. If a payment plan is agreed upon, you
will be asked to sign a financial agreement. Payments are due when
statements are received. Dental Insurance: If we have received complete insurance information on the day of your appointment, we offer the courtesy of filing your dental claims electronically. You must be familiar with your insurance benefits, as we will collect from you any estimated amounts not covered by your dental plan. You are responsible for any balance on your account after 45 days, whether insurance has paid or not. If insurance is pending you will receive an interim statement to let you know that the account has not been paid. Please understand we file your claim for you as a courtesy. Your insurance is a contract between you and the insurance company. We are not responsible for how your insurance company handles its claims or for what benefits they pay. Benefits are not determined by our office. Insurance companies set their own fee schedules, and are usually determined by how much you or your employer has paid for coverage or the type of contract your employer has set up with the insurance company. Our practice is committed to providing the best treatment for our patients and we charge what is usual and customary for our area. You are responsible for payment regardless of any insurance company's arbitrary determination of usual and customary. Most importantly, please keep us informed of any insurance changes such as policy name, insurance company address or a change in employment.
|
|
|
© Copyright 2002 Childrens Dental Office, P.A.
All Rights Reserved.
Web Site Designed by Dentists4Kids.com
|