Forms and Patient Information

We Will Work Hard To Maximize Your Benefits!

Financial Policy for Augusta Dental Arts

We, at Augusta Dental Arts, are proud to be part of a team whose primary mission is to deliver the finest and most comprehensive dental services available today. We are concerned about your dental care and want to ensure that it is performed in a responsible manner. In order to assist you with the investment in your dental health, we are providing the following options from which you can select a plan that best meets your needs.INSURANCE: We understand the value of insurance benefits and will assist you in obtaining your maximum benefit. We will gladly process your insurance claim for you and will also estimate your deductible and the portion that is not covered by insurance. That amount is due at the time of treatment and may be paid by any of the options below. However, our estimates are subject to final approval by your insurance company and could therefore change the amount due to our office.

INITIAL PAYMENTS: Our office requires a deposit of one half at the start of treatment and payment in full once treatment is complete. No down payment is required with the Care Credit option.

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1. Cash – This includes money orders and personal checks.
2. Mastercard/Visa/Discover – We accept credit cards as payment for dentistry as your limit allows.
3. Care Credit – A separate line of credit to cover your entire family’s dental needs. Approval takes less than 30 minutes. It does not affect your current spending limits and balances of other credit cards. There is no annual fee and no interest if the monthly payments are made on time and the balance is paid by the due date.

We would be happy to work with you to plan out the most appropriate arrangements for your budget. Financing your treatment allows you to start your dental care immediately and spread the payments over a time period appropriate for you. Most importantly, it offers you the opportunity to enjoy the benefits of your dental health without the financial strain.

For your convenience, all new patient paperwork can be accessed online. Simply download each form below, complete the forms at home, and bring the forms with you to your first appointment. If you should have any difficulty downloading these forms, please call our office and a knowledgeable staff member will be happy to assist you.

New Patient Forms

Records Release from Previous Dentist

Post Op Extraction Instructions

Post Op LANAP Instructions

Bleaching Instructions

One Day Smile Makeover Release

Photo Release