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Insurance & Forms - Dentist Crown Point IN, Cosmetic Dentistry, (219) 576-7958

Insurance & Forms

Insurance & Patient Forms

For the convenience of our patients, we file all insurance claims on the day of treatment. We try to help you utilize your maximum benefits. We also have other payment options including MasterCard, Visa, Discover Card, and American Express. Deferred interest financing through Care Credit is also available.

Patient Registration Form

CLICK HERE

Medical History Report

CLICK HERE

HIPPA Form

CLICK HERE

Smile Assessment

CLICK HERE

Safety

Safety for our patients and our staff is one of our top priorities. That is why the office meets and exceeds all OHSA (Occupational Health and Safety Administration) and CDC (Center for Disease Control) for infection control with our new state of the art Sterilization Center.