Patient Resources

At Aesthetic and General Dentistry, we are dedicated to relaxing dentistry, and that includes your experience in our reception room. For your convenience, you can download and print our Dental Registration and History Form, Financial Agreement Form, and Notice of Our Privacy Practices by clicking on the handy download button below. You may bring them to the office, already completed, so that you can relax while you wait for your dental appointment to begin.

Dental Registration Form

 

 

Financial Agreement Form

 

 

Privacy Practices Form

 

 

Insurance and Financial Information
We accept most insurance plans and will gladly process your claim. Please bring necessary insurance and billing information with you to your visits. Insurance policies generally cover only a portion of the total treatment cost. Unless other arrangements have been made, we ask that you pay the portion of the bill not covered by your insurance company at the time of your treatment.

For your convenience, we accept payments made with:

  • Visa
  • MasterCard
  • Discover
  • American Express
  • Care Credit
  • (407) 251-5100