Valassis - Lo Res PDF

Home
Valassis – Lo Res PDF

Office Hours

New Patients Always Welcome! Open Fridays Too!

We are open to serve you, answer questions or schedule an appointment during the following hours:
Monday: 7:30 a.m. – 6:30 p.m.
Tuesday: 7:30 a.m. – 6:30 p.m.
Wednesday: 7:30 a.m. – 6:30 p.m.
Thursday: 7:30 a.m. – 6:30 p.m.
Friday: 7:30 a.m. – 1:00 p.m.

Patient Forms

Please take a minute to print and fill out the patient information forms before your first appointment:

New Patient Form
Medical History Form
Smile Evaluation Form
HIPAA form
Financial Policy
Anesthetic Consent
Notice of Privacy Practices

If you're unable to open PDF files, you can get Adobe Reader for free.

Formulario Del Paciente

Formulario de información del paciente
Historia Médica
Evaluación de sonrisas
HIPAA formulario
Politica Financeria Para Nuestros Pacientes
Consentimiento para el uso del anestésico local
Aviso de Prácticas de Privacidad

Facebook Feed

Personal Care Dental Group

Insurance/Financial

We accept Visa, MasterCard, Discover, American Express and Care Credit card payments. Our office offers financing options through Care Credit.

Personal Care Dental Group, LLC is proud to be a preferred provider with the following insurance companies:

Aetna PPO
Assurant
Blue Cross & Blue Shield
Careington
Cigna PPO
Connection Dental
Delta Dental/PPO
Fortis/DHA

Freedom Network
Guardian PPO
Humana PPO
Manhattan Life DVH
Met Life
Principal/Ameritas
United Concordia

F