Need to fill in one of our New Patient Forms? You can download these at home, fill them in, and bring them to your appointment. Thank you!
Dental Registration and History – Page 1
Dental Registration and History – Page 2
Acknowledgement of Receipt of Notice of Privacy Practices
Family Dentist Patient Resources • Sumner
Our hope is to be able to take care of you and your dental needs. In an effort to make things easy for our patients, we have assembled the necessary financial information here with the options available to you.
The following is a list of PPO’s and insurances we are currently participating providers for:
- Delta Dental
- MetLife
- Aetna
- Regence Blue Shield
- Premera Blue Cross
We accept cash, check, Visa, MasterCard and Discover Card . Additionally we offer Care Credit plans with financing ranging from 6-24 months depending on cost of treatment and amount of patient’s financial responsibility. Please call us with any questions or concerns.