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Appointment Form
For your convenience, we have provided our office appointment form.
Please print the form, complete it, and bring it with you to the office.
How Can We Better Serve You?
| Disease Elimination |
Periodontal Cosmetic Procedures |
Dental Implants |
- Chemotherapeutics
- Pocket Depth Reduction
- Regeneration
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- Crown Lengthening
- Soft Tissue Grafts
- Microscopic Surgery
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- Sinus Augmentation
- Ridge Augmentation
- Implant Placement
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Stonegate Financial Arrangements
Insurance
We are happy to cooperate with individuals who have dental insurance
benefits. Dental insurance is a contract between the patient and the insurance
company. It is NOT a contract between the dentist and the insurance company.
Ultimate responsibility for payment is yours.
Our administrative staff and insurance coordinator will provide all necessary
documentation to assist you in receiving your dental insurance benefits.
Financial Arrangements
Several options of payment are available for our patients. Our office
manager is responsible to work with you in establishing financial arrangements.
We promise to work within your financial budget. Visa and Master Card options
are available, as well as the Care Credit program.
Periodontal examination, treatment and routine requirements are handles
on a fee for service basis.
Referrals are Welcome!

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