Fill out completely online, print, and bring in at your first appointment, or print and fill out by hand.
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.
You will need Adobe Acrobat Reader to view and print the forms.
Forms you will need: