If you are a
new patient, the attached file contains our medical history form that you may print, fill out, and bring with
you to your visit. Upon your arrival you will be asked to fill out a few additional short forms. Please
contact us if you have any questions.
Medical History Form
For your convenience, we accept cash, checks, and major credit cards. Payment is accepted at the time services are performed.
When more extensive dental care is necessary, financial arrangements can be made with our office. Payment plans for more
involved treatment can be made with us or with outside financing through
Lending Club Patient Solutions. Feel free to
contact our office to discuss financial arrangements.
As a service to our patients, our practice works with most dental insurance and is a participating provider with several
Our office helps with the cost of dental care by accepting assignment of insurance payments.
Your co-payment is collected as treatment progresses.
This can significantly reduce your out-of-pocket expense.
Our staff will gladly submit a pre-treatment estimate to your insurance company so that you will know what your benefits will
be. We also assist patients with a breakdown of insurance benefits before and during treatment.
Here are just a few of the many plans we participate with. If your plan is not listed please call our office.
inquire about our senior citizen courtesy.
I am so happy and comfortable at your office. You ALL make me feel as though I have been coming there for years. It is a pleasure being there. Dr. Cooper and staff are very through, professional, comforting, caring, friendly -- I could just go on and on. I feel I am getting the very best dental treatment (even though I am not the best patient). I am so thankful and happy that my friend referred me to you.
I appreciate how easy it was to talk to Dr. Cooper and his staff and get an honest opinion about my teeth.
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