- New patient forms
- Patient Account Access
- Registration and History
- Financial Policy
- HIPPA Consent
- Record Release
- Consent for Endodontic (Root Canal) Treatment
- Consent for Implant
- Informed Consent for Orthodontics
- Informed Consent for Surgical / Crown Lengthening
- Care after Implant procedure
- Care following oral surgery
- Care after Scaling and Root Planing
- Ortho - What to do and what not to do
New Patient Paperwork
Consent for Procedures
After Care Instructions
At Halfmoon Family Dental, your first appointment includes a thorough exam and gathering any information that our dentist must be aware of in order to provide care specifically to your oral health. We understand that all patients are different and require individualized care.
Our Practice's Mission:To fulfill our mission of providing quality dental care to you and your family, we are committed to:
- Staying up to date with latest techniques and equipment.
- Ensuring a comfortable, relaxing environment.
- Exceeding your expectations with our professionalism.
What Every Patient Can Expect
At our practice, every patient can expect to be treated with prompt service at their specified appointment time. Our patients can also look forward to a comfortable experience. We understand that visiting a new dentist can be stressful, which is why our practice works to actively to accommodate all patients and alleviate any fears they may have about a new dentist or dentistry treatments. Familiarizing yourself with our practice, services, and our dentist is a great first step to creating a long term and comfortable experience with dentistry.
Payment is expected at the time services are rendered. We accept cash, checks, Visa, MasterCard and Discover. When extensive dental care is necessary, financial arrangements can be made with our office manager. Please inquire about our payment options including a pre-payment courtesy of 5%.
We participate with many insurance plans such as Cigna, Delta Dental (both PPO and Premier), Guardian, MetLife, United Concordia and dental plans under Connection Dental PPO. Please contact our office to verify the acceptance of your insurance plan.
Our office currently accepts Care Credit. Care Credit offers no interest finance plans. For balances under $500, we offer 6 months interest free. For balances over $500, we offer 12 months interest free.
We offer in-house financing with no interest if an automatic, recurring payment is set up on a credit card that is accepted at this office. Typically, the payment plans are three months. These payment plans need to be set up in advance with the office manager.
We offer special financing options for orthodontic treatment at Halfmoon Family Dental. We offer in-house financing with no interest with half down for Invisalign and one third down for traditional braces. The balance can be paid on a monthly basis, 12 months for invisalign and 18 months for traditional braces. CareCredit offers a special financing option for Invisalign patients with no interest.