Cary Office Click To Call
(919) 865-0700
218 Ashville Ave Suite 30
Cary, NC 27518, USA | Directions
Cornelius Office Click To Call
(704) 765-3150
20905 Torrence Chapel Rd #201
Cornelius, NC 28031, USA | Directions

New Patient Forms Cary NC

For faster, easier submission, your medical forms can be submitted directly to the location you are visiting. Please click on the relevant tab to submit your forms for the Cary or Cornelius location. If you need any help completing the forms call or email us.

Patient Forms for Cary Office

Please fill the below forms for Cary office

Patient Forms for Cornelius Office

Please fill the below forms for Cornelius Office

How we Handle Insurance

We are dedicated to working with you to achieve your dental goals and strive to maximize any dental insurance coverage you may have. However, we do not want insurance companies dictating your dental treatment or your health outcomes. We do not want the insurance company in the middle of the relationship with our patients, for your insurance policy is a contract between you (the insured) and your insurance company. Our patients deserve a certain level of care, and our main goal is to ensure that we provide this as seamlessly as possible.

Therefore, we do not participate with any dental plans as a preferred provider.

Even though we practice holistically, our procedures are coded in the same way as traditional dental offices, with the exception of safe metal removal. Your insurance will reimburse you for any services provided here in the same way as would be the case in any traditional dental practice for out of network benefits.

In order to keep our practice costs down, and in turn keep the cost of your visits down, we ask for payment at the time of service. We will gladly provide you with a completed insurance claim form to mail/submit to your insurance company. We include everything you need to file your insurance claim: a completed claim form, X-rays where needed and a narrative or other information upon request from your insurance company.

After you mail in your insurance claim form, your insurance company will generally reimburse you within 2- 4 weeks.

All of the above will provide you treatment without delay. This also saves time and allows us to bring this savings to you.

Accepted Methods of Payment

Cash, checks, M/C, Visa, Discover, Amex
Note: We do not accept Care Credit.

Enjoy a confident and healthier smile! Call us today to schedule your appointment or request a consultation.