For Our Patients

Patient Resources

Everything you need to prepare for your visit — from downloadable forms to insurance details and what to expect on the day of your procedure.

Before Your Visit

Patient Forms

Download, complete, and bring these forms to your appointment to save time.

New Patient Registration

Personal info, medical history, and contact details.

Download PDF

Medical History Form

Current medications, allergies, and health conditions.

Download PDF

HIPAA Consent Form

Privacy notice and consent for treatment.

Download PDF

Insurance Information Form

Bring your insurance card — we'll handle the rest.

Download PDF

Sedation Consent

Required if receiving IV sedation or general anesthesia.

Download PDF

Telehealth Consent

For virtual consultations and follow-up visits.

Download PDF

Need help? Call us at (908) 224-1707

Get Ready

Preparing for Your Visit

A little preparation goes a long way. Here's what to know before you arrive at our Summit office.

Important Note for Sedation Patients

If you are receiving sedation or general anesthesia, you must have a responsible adult drive you home after your procedure. You cannot drive, operate machinery, or make important decisions for 24 hours following sedation.

1

Complete Your Forms

Download and fill out the patient forms above. Bring them to your appointment to speed up check-in.

2

Bring Your Insurance Card

Have your dental and/or medical insurance card ready. We'll verify coverage before your procedure.

3

Photo ID

Bring a valid government-issued photo ID (driver's license, passport, or state ID).

4

List of Medications

Bring a current list of all medications and dosages, including over-the-counter supplements.

5

Referral (If Applicable)

If referred by your dentist or physician, bring any X-rays or referral paperwork they provided.

6

Arrive 15 Minutes Early

This gives us time to review your forms, verify insurance, and make you comfortable before your appointment.

Financial Info

Insurance & Payment Options

We work with most major insurance plans and offer flexible payment options to make your care affordable.

Dental Insurance

We accept most dental insurance plans including Delta Dental, Cigna, MetLife, Aetna, Guardian, and more. We'll verify your benefits before treatment.

  • Pre-authorization available
  • Direct billing available
  • Benefits verification included

Medical Insurance

Certain procedures may be covered under your medical insurance. We accept many medical plans and can help determine coverage.

  • Cross-covered procedures
  • Implant coverage help
  • Coordination of benefits

Flexible Payment

No insurance? No problem. We offer multiple payment options and financing plans to fit your budget.

  • CareCredit financing
  • Payment plans available
  • Cash, credit & check

Your Comfort

Sedation Options

We offer multiple levels of sedation so you can choose the comfort level that's right for you.

MILDEST

Nitrous Oxide

Also known as "laughing gas," nitrous oxide helps you relax during the procedure. You'll remain awake and responsive but feel calm and comfortable.

  • You can drive yourself home
  • Wears off quickly after
  • Great for mild anxiety
MOST POPULAR

IV Sedation

Moderate to deep sedation administered through an IV. You'll be deeply relaxed and may drift in and out of sleep during your procedure.

  • Requires a driver home
  • Fast-acting and adjustable
  • Ideal for longer procedures
DEEPEST

General Anesthesia

Full unconsciousness for patients who need extensive work, have severe anxiety, or prefer to be completely asleep during surgery.

  • You'll be fully asleep
  • Real-time safety monitoring
  • Requires a driver home

Got Questions?

Frequently Asked Questions

Ready to Get Started?

Have questions? Need to schedule? We're here to make your experience as smooth and comfortable as possible.