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.

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Don't see your insurance provider?

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An Insurance-Friendly Office

Take the load off stressing about insurance. We accept the vast majority of PPO dental insurance plans and are happy to submit claims on your behalf for your convenience.

While we may not be in-network with every insurance plan, many PPO plans still provide valuable out-of-network benefits. In these cases, your insurance may reimburse a portion of your treatment costs just as they would with an in-network provider, though coverage levels and patient responsibility can vary depending on your specific plan. Our team is happy to help verify your benefits, provide treatment estimates, and answer any questions you may have so there are no surprises.

If you feel your insurance is limiting, we also offer an in-house membership plan that provides exclusive discounts and helps cover your family’s dental care needs without the restrictions often associated with traditional insurance.

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 help you understand your options and maximize your benefits.

Do We Accept Your Insurance?

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Pay at Your Leisure

At Imprint Family Dentistry, we believe financial considerations shouldn't stand in the way of quality dental care. That's why we partner with trusted third-party financing providers like Cherry & CareCredit®, giving patients flexible payment options that can help make treatment more manageable and fit comfortably within their budget. Our team is happy to help you explore financing solutions so you can move forward with the care you need with confidence.

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CareCredit

  • Easy Application Process
  • Little to No Interest Plans
  • Flexible Payment Options

Cherry

  • Flexible loan options
  • Customized Loan Terms
  • Wider Eligibility Requirements
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In-House Plan

  • Covered Preventive Treatments
  • Exclusive Discounts
  • Family Plans Available

MEMBERSHIP PLANS

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Save $340 Annually

Child Plan

$349 / year
  • 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
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Save $348 Annually

Adult Plan

$399 / year
  • 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
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Save $419
Annually

Adult+ Plan

$499 / year
  • 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
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Save $493 Annually

Perio Plan

$599 / year
  • 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
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Make a Payment

Need to make a payment? No problem. Make a quick, easy payment through your patient portal.

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New Patients Save!

New Patients Save!
New Patients Save!

Change your smile, change your life.

Change your smile, change your life.
Change your smile, change your life.