Please use this
convenient form
to contact us
with any questions
regarding your smile

Copyright © 2009 Aesthetic Smiles. All Rights Reserved.

Client Forms

To make your experience with Aesthetic Smiles General and Cosmetic Dentistry even more convenient, please, print  and complete the required Client Registration Form below:
- Dental History - Financial Agreement
- Health History Questionnaire - Notice of Privacy Practices
- Acknowledgment of Receipt of Notice of Privacy Practices - Patient Contact Information
- Patient Information    



View Larger Map



Insurance & Financial Information

-One of the greatest parts of our office is that we are honest and upfront.  We promise that you will know all your treatment options and the cost before any treatment is done.  No surprises.  That's just the right way to do business
-We do accept most insurances
-We bill insurance and handle the paperwork as a courtesy for our patients
-We offer multiple different payment options including Care Credit, Cash, Check, Credit Card, Payment Plans
-We also work with banks that have agreed to finance our patients
-Our skilled financial co-ordinators can help you find a way to afford your dental treatment and fit it within a budget
-Our insurance specialist can also help you navigate through your insurance benefits so you know what is covered.  Insurance can be very confusing but our specialists know the ins and outs of how they work

   

Dental Insurance
 
Here is a good blog from a dentist that understands insurance