If you’re a caretaker or a family member who’s interested in scheduling an appointment for your loved one with special needs, everything you’ll need to know is compiled on this page. We welcome any questions or concerns that you may have, so don’t hesitate to reach out to our team at any time. Below, we’ve included some basic information about forms and what to expect during the first visit.
Every patient’s visit can vary based on the reason why they’re visiting us, but for all of our patients, we treat them in a comfortable wheelchair (either their own, or one of ours) that will be tilted backwards with our Versatilt Wheelchair Lift. We also provide dental sedation for all of our patients as necessary, so they can feel comfortable and at-ease during their appointment. We welcome patients to bring in any comfort items that will help them feel calmer, too!
We ask that all of our patients fill out our forms either online or download them, fill them out at home, and bring them in. If you have any difficulty or need help, please reach out to our team.
Please complete these forms online so we can schedule your loved one’s dental appointment.New Patient Registration
We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home. If you have any problem getting these files to print properly, please call our dental office and we will gladly mail or fax them to you. Please mail or fax completed forms in order to schedule your appointment. Please send an email notification to firstname.lastname@example.org or email@example.com or call us to let us know you have submitted these forms.
As a courtesy we will file with your dental insurance on your behalf. You should be prepared to pay any co-payments. In addition, payment of sedation services is required at the time of the appointment.
It is not uncommon that our patients receive assistance from a third-party agency, and we often coordinate our treatments with this in mind.
You may pay for your dental work by cash, check, Visa, MasterCard, American Express, or third-party financing through CareCredit.
We offer additional financing through CareCredit, a trusted, third-party financer that we partner with. They arrange flexible monthly payment plans at little to no interest upon approval, which helps our patients accommodate their budgets. All you need to do is apply by clicking the link below. If you need any assistance, our team is happy to help.
To make paying for treatments easier than ever, we’re also offering online payments through our portal. Just log in and pay your bill—it’s as easy as that!