Your First Visit

Please help us be prepared for your first appointment by completing this Health History form. Download the form below (in either Word or PDF format) to your computer, print it out, complete the form, and bring it with you to your first appointment. > Adult Form (Word format) > Adult Form (PDF format) > Child Form (Word format) > Child Form (PDF format) If you're unable to read PDF files, you can download Acrobat Reader free from Adobe.

Our objective is to make sure your visits with us will be pleasant and informative. Your first visit will consist of an examination and discussion of potential treatment options. This important visit will address the orthodontic needs of your child and is complimentary. Please allow one hour for this examination. We require that both the patient and parent are present (if patient is a minor) so that the objectives, methods, and duration of treatment may be agreed upon. Most, if not all, of your questions concerning orthodontics will be answered by Dr. Parker or Dr. Rubin at this appointment. Questions about insurance and financial arrangements will also be addressed at this time by your treatment coordinator.

Finances

If you prefer to pay for treatment over time, a personal payment plan can be arranged through our office by our treatment coordinator. As a courtesy, these monthly financial arrangements are offered without interest. Alternate pay options are also available and will be discussed at your initial appointment. Our team is committed to assist you with your insurance coverage. We will help you determine the insurance coverage you have available. We will also file your claims. Please bring your insurance identification numbers (Social Security, Plan ID or Group Number) to your first appointment as well as the name, address, and phone number of your insurance.