Patient Information

Patient Forms

Whether you are a new patient or an existing patient, there are forms that need to be completed prior to your scheduled appointment time. Printing them, filling them out and bringing them with you will allow us to attend to your dental needs quickly. If you are unable to print these forms, please arrive at least 15 minutes prior to your appointment time.  Forms can be found here.

Financing/Payment Options

For your convenience we accept Visa and MasterCard along with cash, personal checks, money orders ​and ​Care Credit​.

Payment is expected when treatment is rendered.  Please inquire and we will be glad to provide you with an estimated cost for scheduled procedures when we reserve your appointment. 

We do NOT accept or take any insurance. We are OUT-OF-NETWORK or NON-PARTICIPATING. If you have dental insurance that allows out-of-network coverage, as a courtesy, we will submit dental claims for you.

         

Request an Appointment

We understand that dental emergencies do not always occur at convenient times and that our treatment schedule may be full. However, in the event of an emergency, our goal is to provide same-day emergency treatment. If the emergency is not during regular office hours, please call 315-376-3121. You may also check out our list of common dental emergencies and general recommendations and solutions. You may also request an appointment here.

Need to reschedule an appointment? See our cancellation and late arrival policy below:

No-Show, Cancellation & Late Arrival Policy

Please give at least 24 hours’ notice for cancellations to avoid a $50 non-refundable/non-transferable fee (not covered by insurance). Allow extra travel time to ensure you arrive promptly for your scheduled appointment as if you are more than 15 minutes late, your appointment may need to be rescheduled and the cancellation fee will be applied. Please leave us a voicemail on the answering service if we are unable to take your call or the office is closed. You may also send a text message to our office number, we will reply during our regular office hours. Our office number is 315-376-3121. More information on our No-Show, Cancellation & Late Arrival Policy can be found here.