Patient Forms

At King Family Dental Care, we know that your time is valuable. That’s why we offer a simplified office experience with online patient forms that you can complete prior to your appointment. You’ll spend less time in the waiting area, streamlining your initial visit. These forms help us better understand your dental background, allowing us to provide you with the most effective care possible. As always, please do not hesitate to contact us is you have any questions about patient forms or your appointment.

Please note that you’ll need the latest version of adobe acrobat to download all patient forms.

PLEASE PRINT AND FILL OUT THE MEDICAL HISTORY FORM AND BRING TO YOUR FIRST APPOINTMENT.

• Medical History Form
  
• Notice Of Privacy Practices
• Dental Warranty Form
• Financial Policy

Please download Adobe Acrobat to view/print forms

Insurance and Payment

Our office welcomes many types of dental insurance, and our insurance and payment coordinator will be happy to assist you in determining what type of benefits are available to you through your insurance plan.  We do this as a courtesy to our patients, but this is in no way a guarantee of payment.  If for any reason your insurance does not cover your visit, the balance will be owed by the patient.

Payment arrangements for account balances are due at the time services are rendered, so please bring your insurance card with you to your first visit. We accept many forms of payment, including all major credit cards. You can also speak with our office administrator about flexible payment options available through Care Credit for all dental services.  You may apply online by clicking the link on this website.

If you have lingering questions concerning the financial aspect of your visit, our office administrators are on-hand during our regular business hours to answer your questions and address your concerns.