Patient Forms

Office

First Visit

Thank you for choosing Dawson Family Dentistry for your dental needs. We strive to provide a comfortable environment where you'll feel confident in the level of dental care you receive.

When you arrive for your first visit, please be prepared to complete all insurance and health information forms that will allow us to begin your dental treatment. We will ask you to fill out several forms that will get you acquainted with our office.

Office

First Visit

Save time, take care of the paperwork now. Our New Patient Forms are now available online so that you can complete them at your convenience, giving you time to carefully review our policies and procedures without having to do so at our office. Click on the link below to fill out the form and submit it directly to the doctor.

Financial Options

Payment

We are committed to providing dental care that is both high quality and affordable. Payment options include cash, checks, money orders, Visa, MasterCard, Discover, American Express, CareCredit, as well as any major and participating insurance. We accept the credit cards pictured below

Money Orders Visa MasterCard Discover American Express

Money Orders Visa MasterCard Discover American Express If you would like to extend payments over a longer period of time, we offer CareCredit. Click on the CareCredit logo below for more information.

CareCredit
Financial Options

Insurance

Our office is committed to helping you maximize your insurance benefits. Because insurance policies vary, we can only estimate your coverage in good faith but cannot guarantee coverage due to the complexities of insurance contracts. Your estimated patient portion must be paid as per the contract agreement.

As a service to our patients, we will bill insurance companies for services. If you have any questions, our courteous staff is always available to answer them. If your insurance covers orthodontic treatment, you will receive the benefit of reduced personal costs. Many insurance policies have a lifetime orthodontic benefit that is distinct from regular dental insurance. Insurance policies vary, so we will review your insurance to determine the appropriate course of action.

Once treatment has started, we will file your claims. To help us with your insurance filing, please complete the insurance questions on our New Patient Registration Forms. Practice name accepts most insurance plans. Please have your insurance information accessible when scheduling your first appointment - that way we can verify your insurance benefits and minimize your out-of-pocket expense! If your plan requires a dentist referral, please obtain one before scheduling your complimentary consultation to avoid treatment delays. Please bring your insurance card and information to your consultation appointment.

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