Patient Forms
The following forms are needed prior to your treatment. Please feel free to download and fill them out at home and bring them into the office completed before your first visit. If you have questions about the forms, please call us! We are here to help.
Download and print these forms at home and bring them with you to your first appointment. We recommend you review the HIPAA and the Dental Materials Fact Sheet prior to signing the Notice of Privacy Practices form (above).
Payment Options
We take a variety of payment options, including:
- PPO Insurance and Premier Plans
- VA Insurance
- Cash
- Credit cards (Visa, Mastercard, Discover Card or American Express)
- Care Credit
Insurance coverage
We accept a wide variety of dental insurance plans. To find out if your plan is accepted by our office, please call us. We are happy to help you figure out your coverage.
Our Current In-Network Dental Insurance Providers:
- Aetna
- Anthem
- Blue Cross/Blue Shield CA
- Cigna
- Connection Dental
- Delta Dental
- Met Life
- Healthcomp
- GEHA
- Guardian
- United Concordia
- United Healthcare
Cherry Financing
Buy Now. Pay Monthly. Let your money go further and take better control of your cash flow when you pay in smaller, more manageable monthly installments with Cherry.
Choose from a range of monthly payment plans, with qualifying 0% APR options. Applying is simple and does not impact your credit score. If you're approved for financing, you can use your funds immediately. Manage your payment options using Cherry's self-serve patient portal.
Explore what Cherry has to offer
CareCredit
CareCredit is a healthcare financing option that allows you to pay monthly over a set period of time. The difference between this and other credit cards are interest-free payment plans. Care Credit offers options of 6, 12, 18 and 24 monthly fixed payment plans that will accrue no interest if paid in full within the terms of the plan.
Post Treatment Instructions
The following are instructions for your care after a treatment in our office:
After Crown and Bridge Appointments
After Deep Cleaning Appointments
After Arestin Periodontal Treatment
After a Filling – Patient Instructions
