Financial Information
Click here for the New Patient forms for adults.
Click here for the New Patient forms for children.
HIPAA form(used for both adult and child)
Payment options:
Click here for the New Patient forms for children.
HIPAA form(used for both adult and child)
Payment options:
- We submit insurance and are members of Delta Dental of SD
- Cash or Check- 5% discount when bill paid at time of visit
- Credit cards including: Discover, MasterCard and Visa
- CareCredit.com
