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Forms

Appointments:

Our office provides regular office hours Monday through Thursday. 8:00 a.m. to 5:00 p.m. and Friday by appointment. Call (209) 523-KIDS (5437) to schedule an appointment. If you must cancel or reschedule an appointment, we require 72 hours notice.

Please bring the Patient Registration Forms.

Download Patient Registration and Medical Forms

Finances:

We accept most major dental insurances. All deductibles and estimated co-payments are due at the time dental treatment is provided. Our estimates are made according to the information given to us by the insurance company and the contracted employer. Any additional charges not covered by insurance will be the obligation of the responsible party. We accept cash, personal checks, as well as VISA, MasterCard, and Discover credit cards. In addition, Care Credit Applications are available in the office.

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