FOR NEW PATIENTS
INFORMATION FOR YOU & YOUR FAMILY
We’re honored to have you joining us! Here’s some information below that may be helpful for both new and existing patients.
Insurance
We will work with you to find the best financial options for your dental care. Please bring the necessary information with you on your first visit.
Insurance policies generally cover only a portion of the total treatment cost. Unless other arrangements have been made, we ask that you pay your portion of the bill at the time of treatment. It is your responsibility to pay any balance not paid by your insurance company.
For your convenience, we also accept payments made with your Visa, MasterCard, Discover, and American Express.
If you have any trouble or need more questions answered please feel free to contact us at 503-842-2386. We submit claims to a range of insurance companies, including the following:
- Advantage Insurance Network: https://www.ainessentials.com/about-ain/
- Aetna: http://www.aetna.com/individuals-families-health-insurance/plans-benefits/dental
- Ameritas: http://www.ameritasgroup.com/member
- Blue Cross Blue Shield: https://www.bcbs.com/
- CIGNA: http://www.cigna.com/individualsandfamilies/dental-insurance
- Delta: http://www.deltadental.com/Public/index.jsp
- GEHA: http://www.gehadental.com
- Guardian: http://www.guardiananytime.com/app3/wps/myportal
- MetLife: https://www.metlife.com/individual/dental-insurance-center
- Moda Health: https://www.modahealth.com/index.shtml?dn=ods
- Mutual of Omaha: http://www.mutualofomaha.com/
- Principal: https://www.principal.com/
- Prudential Financial: https://www.prudential.com/
- United Concordia: https://www.unitedconcordia.com/dental-insurance/member/
- United Healthcare: https://www.uhc.com/
Financing
We are proud participants with CareCredit, a third-party financing service allowing interest-free payments for qualifying patients and treatment plans. Because CareCredit is an independent third-party service, we have no direct control over the application process or any terms of an agreement between you and CareCredit.
Please visit www.CareCredit.com for more details. Feel free to contact our patient care coordinator at our office if you have any questions about our participation with CareCredit.
Patient Information Form
The patient information form is a required document that we recommend completing before your visit.
The information it provides regarding your current health, medical and dental history assists us in delivering the highest level of service and care.
We appreciate the confidence you place with us to provide dental services. If there have been any changes in your health, please tell us.
You can either fill it out via link below and bring it with you or feel free to fill it out at our office.
Statement of Privacy Practices
At The Smile Studio, we are dedicated to protect the privacy rights and confidential information of our patients.
We are committed to ensuring that your health information is never compromised by any of our employees. This is a principal concept of our practice.
We may, from time to time, amend our privacy policies and practices but will always inform you of any changes that might affect your rights.
Additional Forms
To save yourself some time on the first appointment, you can fill out our patient forms at home. Download and print our patient forms here. If you have any questions, you can reach us at the main office by phone: 503-842-2386