Patient Forms

In an effort to provide our patients with the most pleasant experience during office visits we’ve provided below a convenient list of patient forms to download. Please either save the forms to your desktop, complete the information then email as an attachment to info@jlfamilydentistry.com, or print the forms and bring them to your first visit. If you don’t see the patient form you’re looking for, please contact our office and someone will be happy to assist you.

In an effort to provide our patients with the most pleasant experience during office visits we’ve provided below a convenient list of patient forms to download. Please either save the forms to your desktop, complete the information then email as an attachment to info@jlfamilydentistry.com, or print the forms and bring them to your first visit. If you don’t see the patient form you’re looking for, please contact our office and someone will be happy to assist you.

Insurance

We accept most insurance plans. We also accept payment from most PPO and indemnity plans. Please call us to make an appointment and we will answer any questions you may have.

Payment Options

We accept all major credit cards and cash. If you do not have dental insurance or your insurance does not cover certain aspects of your treatment, there are other methods to make paying for care easier.  Our office works with third-party financing programs to help families and individuals get the dental care they need. To learn more, please call us at (785) 272-3864.

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