Please note: These downloadable forms are provided for your convenience. Do not email or submit these forms online, as they may contain personal health information.
To protect your privacy, please print and complete the forms at home, and bring them with you to your appointment. If you have any questions, feel free to call our office. We're happy to help!
Copies of most recent dental X-rays or records (if available)
Review our HIPAA Privacy Policy here
Completed patient forms
Dental insurance card or information
Please note: We will make every effort to maximize your dental insurance benefits–however your dental insurance plan does not dictate clinical treatment recommendations. Any remaining cost after your insurance benefits are processed is your responsibility. For major restorative treatment, a pre-estimate will be sent to your dental insurance provider prior to the start of treatment. For patients without dental insurance, payment is due at the time of service, unless prior financial arrangements have been made. Thank you.
We accept third party financing through Care Credit, which offers flexible payment plans to manage the cost of your dental care. Please apply through the CareCredit website or call our office for more information.
10 percent senior discount for patients 65 and older without dental insurance
Cash, check, or credit card (Visa, MasterCard, Discover, AmEx)
We are in network with many popular dental insurance plans in the Capital Region. Please call us to review your insurance information. If we are not in network, we are happy to submit claims on your behalf.
Please note: We do not participate with Medicaid.
Insurance and Payment Options
Dental radiographs allow us to accurately diagnose oral health problems, such as cavities, in a timely manner—beyond what is visible to the naked eye—and to ensure an adequate oral health exam is complete. For the most up to date information on dental radiographs from the American Dental Association (ADA), please utilize the links below:
X-Rays/Radiographs
DENTAL RADIOGRAPHIC EXAMINATIONS
Do you treat children?
What can I expect at my first visit?
Are you accepting new patients?
How can I pay my bill?
Do you accept my insurance?
Why are dental radiographs (x-rays) necessary?
How often should I go to the dentist?
We participate or are “in-network” with many popular dental insurances in the Capital Region; please call our office today at (518)-785-5100 for the most up-to-date information on our “in-network” status.
If we are not “in-network” with your dental insurance, please inquire with your dental insurance provider about “out-of-network” dental benefits ~ we are happy to file dental claims on your behalf.
*Please note: we are not participating providers with Medicaid
Do you treat children?
What can I expect at my first visit?
Are you accepting new patients?
How can I pay my bill?
Do you accept my insurance?
How often should I go to the dentist?
Why are dental radiographs (x-rays) necessary?
We accept payment via cash, check, or credit card (Visa, MasterCard, Discover, American Express). Please call the office at (518)-785-5100 for more information if you have a question about your bill.
Do you treat children?
What can I expect at my first visit?
Are you accepting new patients?
How can I pay my bill?
Do you accept my insurance?
How often should I go to the dentist?
Why are dental radiographs (x-rays) necessary?
Yes, we are currently welcoming new patients.
Do you treat children?
What can I expect at my first visit?
Are you accepting new patients?
How can I pay my bill?
Do you accept my insurance?
How often should I go to the dentist?
Why are dental radiographs (x-rays) necessary?
Your first visit will focus on comprehensive diagnostics and a personalized approach to care. One of our dentists will create a treatment plan based on your unique dental health needs—not limited by your insurance coverage. While we do everything we can to help you maximize your dental insurance benefits, our clinical recommendations are always guided by what’s best for your oral health. If clinically appropriate and time allows, we’ll also provide a cleaning at your initial visit.
Do you treat children?
What can I expect at my first visit?
Are you accepting new patients?
How can I pay my bill?
Do you accept my insurance?
How often should I go to the dentist?
Why are dental radiographs (x-rays) necessary?
We provide gentle, age appropriate care and love helping kids feel confident about their dental health.
Do you treat children?
What can I expect at my first visit?
Are you accepting new patients?
How can I pay my bill?
Do you accept my insurance?
How often should I go to the dentist?
Why are dental radiographs (x-rays) necessary?
We typically recommend visits every six months, but this can vary depending on your individual needs.
Do you treat children?
What can I expect at my first visit?
Are you accepting new patients?
How can I pay my bill?
Do you accept my insurance?
How often should I go to the dentist?
Why are dental radiographs (x-rays) necessary?