Patients

Your First Visit

Welcome to our practice!

Our goal is to provide you with the highest quality dental care and personal attention in a timely and respectful manner to ensure your continued good dental health.

Please take a moment to fill out the new patient paperwork and submit it online or bring it with you to your upcoming appointment.

We will need a copy of your dental insurance card, if applicable, so please bring that to your appointment.

Make A Payment

We accept Visa, MasterCard, Discover, and American Express, as well as checks and cash.

Patient Name or Account Number:

New Patient Forms

We are able to submit claims for dental treatment to most dental insurance companies.

New Patient Welcome Letter
New Patient Form for Adults
New Patient Form for Teens
New Patient Form for Children
Release Form
Financial Agreement Form
Insurance Information
Communication Consent

Instructions

Whitening Instructions
Fluoride Varnish Instructions
Nightguard Care Instructions

Privacy

Notice of Privacy Practices
Acknowledgement of Privacy Rights

Financial Policy

We are committed to providing you with comprehensive and excellent dental care using only the highest quality materials and state-of-the-art technology.

Charges incurred for treatment provided are your responsibility regardless of any expected insurance coverage. Treatment recommendations will always be based upon your dental needs.

This agreement is to inform you of your financial obligation to the office of Dr. Carrie K. York.

Get In Touch With Our Care Team

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Office Hours

Monday 7 AM – 4 PM
Tuesday 8 AM – 6 PM
Wednesday 7 AM – 5 PM
Thu-Fri 7 AM – 1 PM
Sat-Sun Closed