Practice Policies
Everything in one place
Our policies are designed to keep communication clear for every family in our care. Use the sections below to find the forms and guidelines that apply to you, and contact the office whenever you need clarification.
New Patient Registration
Registration forms collect your health history, insurance information, and consent to treatment so we can begin your care with a complete picture.
- New patient registration forms
- Health history and medical updates
- Contact and insurance details
Privacy Policy & Consent
Our privacy policy explains how your health information is handled, and our consent forms document the care you have agreed to receive.
- Notice of privacy practices
- Consent to treatment forms
- Authorization for release of information
Financial Policies & Cancellations
Financial policies outline payment responsibilities, and our cancellation guidelines explain how to adjust your appointments with notice.
- Payment is due at the time of service
- Patient is responsible for the total cost of services
- Cancellation and scheduling guidelines
Accepted Payment
Ways to pay
For the full details of accepted payment methods and payment plans, see our payment and financing pages.
| Method | Details |
|---|---|
| Cash | Accepted at the time of service |
| Checks | Accepted at the time of service |
| Visa, MasterCard, Discover | Card payments accepted |
| CareCredit | Interest-free 3-, 6-, and 12-month plans and low-interest extended plans, subject to credit approval |
How to Get Forms
Three simple steps
- Download or request the form. Choose the form you need from the sections above and ask the office if you would prefer a paper copy.
- Complete and return it. Bring the signed form to your appointment, or drop it off at the front desk.
- Ask questions any time. Call the office to confirm what is needed before your first visit.
Need to change an appointment?
Do not use email to cancel or reschedule a scheduled appointment. Call the office at 765.864.2328 or toll free 866.417.8370 so your appointment can be adjusted promptly.
For a dental emergency after hours, call 765.456.5200.
View map, hours, and contact details
Dental practices are easier to navigate when the paperwork is organized and easy to understand. A clear policies and forms page gives patients a single place to review what happens before, during, and after a visit, from registration and health history to consent for treatment and financial responsibilities. Rather than printing and mailing documents, many families now complete forms online ahead of time, which shortens the check-in process and leaves more time for the appointment itself. Reviewing these materials in advance also helps you prepare questions so you can talk with the dentist openly about your care, your health history, and any concerns you might have about treatment.
New patient registration forms typically gather essential background information, including medical history, insurance details, and consent to treatment. Completing these accurately matters because the more the team knows about your health and history, the better they can plan individualized care suited to your specific needs. It also helps to update your information whenever something changes, so your records reflect your current health status and remain accurate. If any part of a form is unclear, reaching out to the office for clarification before your visit is always encouraged, since understanding the paperwork is part of feeling comfortable and trusting in your care.
Beyond registration, offices usually maintain a set of ongoing practice policies that outline expectations for both the practice and the patient. These may cover topics such as appointment scheduling, cancellations, payment arrangements, treatment consent, and privacy of your records. Reading these guidelines helps set the stage for a smooth, relaxed relationship with the dental team, and it reflects the same attention to detail that carries through into clinical care. Families appreciate knowing that communication stays consistent, that questions are welcomed, and that the office remains a dependable source of information long after an initial visit.
Good dental care begins with trust, and trust grows when a practice is transparent about how it works. A well-organized policies and forms section signals professionalism and respect for your time, whether you are a brand-new patient or a returning member of the family. It also reinforces the compassionate, thorough approach the office aims for: attention to comfort, individualized treatment planning, and a gentle atmosphere that puts nervous patients at ease. By taking a few minutes to familiarize yourself with these resources, you arrive prepared, informed, and ready to focus on what matters most, maintaining your oral health and the ongoing education that supports it.
Office Hours
When we are open
| Day | Morning | Afternoon |
|---|---|---|
| Monday | 8:00 a.m. – 1:00 p.m. | 2:00 p.m. – 5:00 p.m. |
| Tuesday | 9:00 a.m. – 1:00 p.m. | 2:00 p.m. – 5:00 p.m. |
| Wednesday | 8:00 a.m. – 1:00 p.m. | 2:00 p.m. – 5:00 p.m. |
| Thursday | 8:00 a.m. – 1:00 p.m. | 2:00 p.m. – 5:00 p.m. |