Patient Information in Clive, Iowa

 

Insurance and Financial

We gladly submit and assist you with your dental claims. We participate with Delta Dental Preferred and Blue Dental of IA plans.

If you will be new to our office, for your convenience you may wish to downloaded, print and complete this form before your visit.

We accept the following forms of payment:
 
 
 
 
 
 
 
 
 
 
 
 
 
Visa
 
MasterCard
 
Discover
 
American Express
 
Cash
 
Personal Checks
 
We are pleased to offer financing through CareCredit. Click the logo below for more information.
 
CareCredit

New Patients

If you will be new to our office, you may download and print the following forms to complete before your visit.
 

HIPAA

We follow HIPAA privacy guidelines. Our written privacy policy is given to new patients and may be requested at any time. Should you have questions, please ask any team member.

Again, thank you for selecting us. At any time, if you have questions regarding your treatment, fee or service, please discuss them with us promptly and frankly. We will make every effort to avoid a misunderstanding and to preserve a friendship.