New Patient Paper work: 

Fill out completely online, print, and bring in at your first appointment, or print and fill out by hand. 

 You need Adobe Acrobat Reader to view and print forms.

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Patient Info Sheet (signature required)

Financial Agreement (signature required)

Medical History (signature required)

HIPAA Privacy Act (Print for your records)

HIPAA Privacy Acknowledgement

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We accept most dental insurance.  We are preferred providers for the active duty United Concordia,  Blue Cross Blue Shield of Tennessee except the Federal Government Plans, Doral-Tenncare for Children, and we are Premier Providers for All the Delta Dentals.  The following are different types of insurance plans.  Make sure you know which one you have.   Also, know your insurance, what it covers, what it doesn't cover, if your have any waiting periods, exclusions, etc....

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