New Patient Information
Our office is dedicated to providing you with the best dentistry available. Our goal is to treat you in the same manner we would treat our own family. In an effort to achieve that goal, we have chosen not to sign contractual agreements with any insurance company. Therefore, if your insurance company has a listing of in-network dentists you must go to, you will NOT find us on that listing. On the other hand, if you have an option to choose the dentist you prefer, we will be glad to assist you with filing your insurance claims.
Please keep in mind we will file your insurance claims but ultimately you will be responsible for satisfying all balances with our office. Because we are not in-network for any insurance company, we do not solely accept what the insurance company pays as full payment. If there is a problem in collecting from your insurance company, you will be responsible for resolving that problem and paying Dunbar Dentistry for any balance on your account.
In an effort to assist our patients, we verify dental insurance coverage, but like the insurance company themselves, we cannot guarantee payment or eligibility at the time of service. We will estimate your co-pay based upon the coverage information we are given. We ask you to pay this estimated co-pay when services are rendered.
New Patient Registration
We are glad you have chosen to become part of our thriving dental practice. As a new patient, you may print and fill out the New Patient Information and Health History forms before your first appointment. By doing this step ahead of time, you will greatly reduce the amount of paperwork to be completed in our office. This will allow us more time to get to know you, making your first visit with us a pleasant one. We look forward to seeing you soon.
- New Patient Information - .doc | .pdf
- Health History Page 1 - .xls | .pdf
- Health History Page 2 - .xls | .pdf
- Health History Page 3 - .xls | .pdf
- Dunbar Office Policies - .pdf
- Protected Health Information - .pdf
Office forms can be downloaded in .doc (MS Word) format, .xls (MS Excel) format, or .pdf (Adobe) format. You must have the respective software on your computer to open these files after downloading.