Dentist Canton New Patient Forms

For your convenience our office now offers online registration forms.  Please print, complete and bring with you to your appointment.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                      

 

 

Financials:

We will be more than happy to submit all insurance forms for you and help you recover the most from your benefits. We will do everything we can to help you afford the treatment you need and want. For patients who require major work, a complete payment plan is designed with an appropriate payment schedule. 

 

Forms of payment accepted by the office are check, cash, Care Credit, or any major credit card.

 

Ask about our In House Membership Program.