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New Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment.

Everyone deserves a great smile.
We make it affordable.


The cost of treatment depends on the severity of the patient’s problem. You will be able to discuss fees and payment options before treatment begins. We have payment plans to suit different budgets. We also accept assignments from most insurance plans and we will file the necessary papers to the insurance company. We also offer discounts for Military, pay in full, and multiple family members. We work hard to make orthodontics affordable.


In an effort to keep orthodontic fees down while maintaining the highest level of professional care, we have established this financial policy:

  • If full payment is made at the onset of treatment, we will offer a fee discount. (If you have insurance, we will offer a discount for payment of your portion of the fee that will not be covered by insurance.)
  • To fit your individual needs, financial arrangements can be made to extend your payments over the length of treatment and in some cases longer with ACH payments
  • For your convenience, we accept payment by VISA, MASTERCARD, American Express and Discover.
  • We accept Care-Credit


If you have insurance, we will help you to determine the coverage you have available. We ask that you assign your insurance benefit to us. The balance will be arranged for you to pay (see above). Professional care is provided to you, our patient, and not to an insurance company. Thus, the insurance company is responsible to the patient and the patient is responsible to the doctor. We will help in every way we can in filing your claim and handling insurance questions from our office on your behalf.

Stop overthinking it.
Your smile deserves this.