New Patient Forms

FREE PDF Viewers for Windows:

PDF X-change Viewer (our favorite) - Free for non-advanced version. Download either the .zip or .exe installer here.

FoxIt Reader - Download the Reader from this page.

Sumatra - A very light-weight open source reader.  Download here.

SlimPDF - 10% the size of Adobe Reader - download is only 1.43 MB.

To save you time at check-in, we have provided the forms for new patients as fillable PDF forms.  You may fill them out in your PDF Viewer and then print, sign and bring with you on your first visit. You will need a PDF Viewer to do so. Such software is pretty standard on all modern devices - but you can download free ones for Windows via the links in the left sidebar. NOTE: The forms may not work correctly if you use a browser embedded PDF viewer.

Don't Have a Printer? If you don't have a printer, download and fill out the forms - save them on your computers and email the completed PDF to us.

594.66 KB PDF
All Forms Required for New Patients
Dental Insurance?

We accept most insurance plans and will file claims on your behalf. We can also submit per-authorizations for planned treatment so we can give you information ahead of time on what your insurance plan will pay for and other options for taking care of remaining balances. We make every effort to save you time and hassle, but the insurance is a plan between yourself, employer and the insurance company, and we are a third party.

Please call our office at 303-722-2686 for specifics on Insurance plans accepted.

Insurance FAQ:

What is a covered benefit?

Treatment that is recommended by your dentist will be listed on a fee schedule, and then accepted under the terms of your group's agreement p[l;an.

 What is the difference between Indemnity, PPO, HMO and other discount insurance plans?

Indemnity or traditional insurance will reimburse members or dentists at the dentist's Usual, Customary and Reasonable fee (UCR). This allows the patient to go to any dental office without being limited to a specific list of providers.

PPO's are Preferred Provider Organizations and are the most common form of insurance. They provide members with a list of participating dentists to choose from. The dentists on this list have agreed to a lower fee schedule, which provides you with greater cost savings.

HMO is a Health Maintenance Organizations and are also known as capitated or prepaid insurance plans. These plans were designed to give members basic care at the lowest rates. Participating providers receive a monthly capitation check for patients assigned to the office. This amount is only a few dollars and is intended to offset the administrative costs. HMO's do not generally pay for services rendered. Fees are usually greatly reduced, but the patient is solely responsible for paying the doctor. 

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