Patient Resources

Forms

 

To save time the day of your appointment please print and complete these forms and bring them with you.

  • New Patient Form
  • Medical / Dental History
  • HIPAA Agreement

If you do not have the Adobe Acrobat Reader software, you can get it for free by clicking here.

Financial Options

The team at the Davis Dental believes that covering dental cost or financing your treatment should be easy. We offer a variety of payment options and financing plans to make treatment as affordable as possible. To accommodate all our patients, we accept a variety of payment methods, including the following:

Debit and Credit Cards

We accept all major credit cards, including Visa, MasterCard, and American Express. We also accept debit cards.

Flexible Spending Accounts

Check to see whether your employer offers a medical spending account. Medical spending accounts allow you to cover your cosmetic dentistry treatment cost using pre-tax income that is set aside for medical expenses.

Insurance Coverage

Our staff is happy to assist you in determining whether your treatment cost will be covered by your insurance company. If the treatment is covered by insurance, we will help you file your claim.

Low Monthly Payment Plans

We accept two popular dentistry financing plans at our practice:

We work with Springstone℠ Patient Financing to provide you with a flexible payment option for your dental treatment. Springstone allows you to choose a monthly payment that meets your needs. Specifically designed for dental procedures, Springstone offers the following benefits:

  • Choose a no-interest plan or an extended plan
  • No initial payment
  • Low, fixed rates ranging from 5.9% – 12.9%
  • Terms ranging from 18 to 84 months
  • No prepayment penalty

Determine the estimated payments for your dental procedure with the Springstone Payment Calculator!

Applying with Springstone Plan is easy!

Complete an application online or call Springstone’s toll-free number at 1-800-630-1663. Their friendly staff will be happy to provide information, answer your questions, and make certain your application is processed quickly. A good credit standing is required. Applicants must be 18 years of age, and gross family income must be at least $1,250 a month. Once approved, you’re ready to begin treatment right away!

Worried about sending personal information over the Internet? Springstone’s is committed to the security of the customers with whom they do business. For that reason, Springstone℠ uses SSL (Secure Socket Layer) encryption to conduct all online transactions. SSL is an encryption protocol that provides confidentiality and integrity for all communications between customers and the Springstone℠ Patient Financing site.

 

Designed specifically for healthcare related expenses like cosmetic dentistry, CareCredit® offers financing plans that feature no interest and low monthly payments. There are no annual fees, setup costs, or prepayment penalties. Plans can be spread over a variety of time periods — anywhere from 3 to 60 months. In addition, CareCredit® can be used to help cover any health care-related expense: from $1 to $40,000.

Apply for CareCredit® online using their easy, secure system. Or contact our staff to learn more about CareCredit® and how it can help you manage your treatment costs.