Dr. Brett L. Johnson

General & Cosmetic Dentistry

Patient Forms and Office Policies

Patient Forms and Office Policies

Patient Forms

To make your visit as efficient as possible, we have provided our patient forms below in Adobe PDF format. There are 4 pages included in this document, which you’ll need to fill out and sign. You may print and complete the appropriate forms at your convenience and bring them into the office when you come for your visit:

New Patient Forms Authorization to Release Dental Records

Payment Options

  • Cash
  • Check
  • VISA
  • MasterCard
  • Care Credit Financing

Dental Insurance

We are happy to bill all insurance plans.  However, please check with your insurance carrier to see if you are on a preferred provider plan.  We are a preferred provider for Delta Dental Premier.  Our Insurance Specialist will assist you in assessing your benefits and billing your provider. Co-payments are due at the time of treatment.

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