FORMS

FORMS

New Patient Registration Forms

To save you time at your appointment, please download and complete the new patient registration forms. Bring them with you at the time of your first appointment. Thank you!

Our Policy on

Accepting Dental Insurance

Dr. White will gladly accept your assignment of benefits on most insurance plans, as payment on your account. However, we are NOT a contracted Dentist with any insurance policies. Your “out of pocket” estimated portion is due at the time of service. As a courtesy to you, we will file a claim to your insurance company on your behalf. If YOUR Insurance Provider does not pay or pays less than is estimated, the remaining balance then becomes due and is your immediate responsibility.