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Patient Forms


Looking for a better alternative to dental insurance? We have the solution.

Our Smile Savings Plan allows individuals to receive routine dental services, additional benefits and exclusive discounts for a low annual fee!

• NO Yearly Maximums   • NO Deductibles   • NO Claim or Pre-Authorization Forms
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Financing through CareCredit is also available!

Referral Program

One of the highest compliments a dental practice can receive is when a patient refers a friend, co-worker or relative. We have made this process simple and easy by providing the form below. We guarantee they will receive the same high quality of care you have come to expect from us.

Patient Referrals

The form below will send an email to your friend. We will only contact them if they respond saying that they would like more information about our office.