Established Patient Check In
-
-
-
Choose ONE Option PAIN/Emergency Crown Fillings Extraction/Removal Of the Tooth Root Canal New Patient/Cleaning Dentures/Flipper Follow UP Veneers Consultation Invisalign Implant Nightguard
-
Medical History
-
-
-
Insurance form Update
-
-
-
Please take a picture of your Front Side of the Insurance Form or give your NEW insurance information to the Front Desk for correct billing and services
-
Would you like to see the video of the procedure you are in for?
-
-
-
-
Financials
-
-
-
Someone Will Let you know about Financials. Please Click Next
-
-
Type in your email id if you would you like us to send you the Instructions after your Extractions/removal of teeth?
-
-
-
- Should be Empty:
