Patient Info

Patient Information


Thank you for choosing us for your dental care!


Please reference the information provided to guide your transition into our practice as a new patient.  The forms below may be completed and brought with you to your initial appointment.  We look forward to meeting you!



Medical Records


Patient Forms

Prior Dental Records and X-rays


Please bring any records of prior dental work to your first appointment. These medical records can be obtained by contacting your prior dental office. They are valuable in treatment planning and evaluating your dental health.

Medication List


A current and comprehensive list of all medications you are taking, including the following:

  • Active prescriptions
  • Over-the-counter supplements or vitamins
  • History of steroid therapies or bisphosphonates

Medical History


Please provide an up-to-date medical history.  This includes any chronic or acute conditions, surgeries, and/or hospitalizations.  Please see our "Patient Forms" link above to download our Medical History form prior to your first appointment.


Insurance Information


Please bring your insurance card to every appointment.


While we will help you to determine coverage under your insurance plan and answer questions you may have, you are responsible for knowing the details of your dental insurance and are responsible for any copays, deductibles, and all other charges applicable under your insurance plan.


If you do not see your insurance listed below or are unsure of your insurance coverage,

contact your insurance provider directly prior to visiting our office.


We do not currently accept any HMO or DHMO.


In-Network PPO Insurance Plans

Aetna

Aflac/Argus

Always Care

Ameritas

Assurant/Sunlife

Cigna

Delta Dental

Guardian

Lincoln Financial

MetLife

Principal Insurance

TeamCare

United Concordia

UHC

UPMC

And many others...


Payment Options

In addition to the insurances listed above, we accept some dental discount plans, private pay, CareCredit, and most major credit cards. Please call our office for further details, so that we may best serve your needs.



If you have any questions, call 724-935-9720 for more information.


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