Please fill out and return the following forms before your first appointment at our office!
Health History Form
New Patient Form
HIPAA & F,C,S Forms
Your First Visit
Drs. Ford and Derringer and our staff treat our patients like family and strive to get to know everyone individually from their very first appointment. We want you to feel relaxed and at ease to ask questions when you’re in our office. Here’s what you can expect at your consultation.
Please ask us about our financing options, including our in-house preventive care plan. We also recommend the CareCredit and Lending Club financing programs as financing options for your treatment.
We are in-network with Dental Care Plus, Delta Premier, Anthem 300, Superior Dental Care, and Cigna. We will also accept all insurance and file for you.