We are pleased to welcome you to our practice! Please take a moment to read the following information carefully and to fill out the forms as completely as possible. If you have any questions, please call us at 732-545-1268 and we will be glad to assist you. We look forward to working with you to maintain your dental health! We have plenty of parking as well!
Please fill out these forms as completely as possible and bring it with you to your appointment.
We accept all major credit cards. For your convenience, we have also arranged an interest-free payment plan through Care Credit, which helps our patients obtain their new smiles today. To apply, please click here or call our office!
If you are unable to keep your appointment, please provide us with at least 24 hour notice. This will make it possible to give your time to another patient. Thank you in advance for your cooperation.
We work with all major insurance companies. However, insurance does not always cover the full cost of dental care. Insurance coverage is designed to reduce, not eliminate, the cost. It is your responsibility to understand your policy and the coverage it provides.
We will submit your insurance claim to your insurance company as a courtesy to you. This does not guarantee that your particular plan will cover your procedure either in part or in full. We require that you pay any deductible, co-payments, and fees over your annual maximum at the time services are rendered.
Please keep in mind: you are fully responsible for all fees charged regardless of your insurance. All payments are due at the time services are rendered unless other arrangements have been made in advance. If you have any questions regarding your account, please contact our financial coordinator at (732) 545-1268.