Patient Resources
New Patient Forms
You've made a great choice choosing Imprint Family Dentistry! To make your appointment quick and seamless, we encourage all new patients to fill out our New Patient Paperwork online before your appointment. Upon scheduling your first appointment, you will be invited to securely complete all paperwork electronically (on your mobile device or desktop). Should you prefer to complete this paperwork on traditional paper forms, please contact our office and we can arrange for downloadable paperwork (PDF) to be emailed to you.
An Insurance-Friendly Office
Take the load off stressing about insurance. We accept most PPO insurance plans and happily submit claims for your convenience. And if you feel your insurance is limiting, we offer an in-house membership plan that provides exclusive discounts and covers you and your family’s every dental need.
See if we accept your insurance by filling out the form below. It takes less than a minute. Or, feel free to give our office a call – our team is always happy to assist you!
Do We Accept Your Insurance?
Pay at Your Leisure
We understand that some treatments can be costly. That’s why we work with lenders so you can get treated within your budget and lifestyle.
CareCredit
- Easy Application Process
- Little to No Interest Plans
- Flexible Payment Options
Lending Point
- Flexible loan options
- Customized Loan Terms
- Wider Eligibility Requirements
In-House Plan
- Covered Preventive Treatments
- Exclusive Discounts
- Family Plans Available
MEMBERSHIP PLANS
Save $340 Annually
Child Plan
- 2 Oral Health Exams
- 1 Emergency (Limited) Exam
- All necessary diagnostic x-rays and photos
- 2 Professional Dental Cleanings (Prophylaxis)
- 2 Fluoride Treatments
- 50% off sealants
- 20% Discount on additional treatment procedures
Save $348 Annually
Adult Plan
- 2 Oral Health Exams
- 1 Emergency (Limited) Exam
- All necessary diagnostic x-rays and photos
- 2 Professional Dental Cleanings (Prophylaxis)
- 2 Fluoride Treatments
- 20% Discount on additional treatment procedures
Save $419
Annually
Adult+ Plan
- 2 Oral Health Exams
- 1 Emergency (Limited) Exam
- All necessary diagnostic x-rays and photos
- 3 Professional Dental Cleanings (Prophylaxis)
- 3 Fluoride Treatments
- 20% Discount on additional treatment procedures
Save $493 Annually
Perio Plan
- 2 Oral Health Exams
- 1 Emergency (Limited) Exam
- All necessary diagnostic x-rays and photos
- 3 Periodontal Maintenance (Cleanings)
- 3 Fluoride Treatments
- 20% Discount on additional treatment procedures
Make a Payment
Need to make a payment? No problem. Make a quick, easy payment through your patient portal.
New Patients Save!
Change your smile, change your life.
