New Patients
We Welcome New Patients
Experience Exceptional Care for Your Smile
We warmly welcome new patients of all ages to our practice. When you visit, you’ll have the chance to meet our caring team and get to know Dr. Karen Glerum personally. We prioritize educating you about your oral health and are always happy to answer any questions about your treatment options.
Our mission is to deliver the highest quality dental care using the latest techniques and technology. We appreciate your trust in choosing us for your dental needs and look forward to helping you achieve and maintain a healthy, beautiful smile for years to come.
What to Expect:
- Personalized Care: Enjoy a thorough consultation with Dr. Karen Glerum to discuss your oral health and your unique treatment goals.
- Comprehensive Evaluation: Receive a detailed examination and advanced diagnostic services to develop a treatment plan tailored specifically for you.
- Friendly Atmosphere: Experience a warm, welcoming environment where your comfort and well-being are always our highest priorities.
New Patient Forms
To ensure a smooth and efficient new patient experience, please download and complete the necessary forms below before your first appointment. Bringing these completed forms helps our team gather comprehensive records and allows us to address any questions or concerns you may have. If you have trouble downloading the forms, please contact our office, and we will be happy to assist you by sending them directly.
If you prefer, please print our Patient Registration Forms:
- Dental History
- New Patient Information
- Practice Policies
- Medical History
Please print all four of these forms, fill them out completely, and bring them to your first visit. Our staff will review any questions you may have at that time.
We look forward to meeting you!
Email your forms to our office CLICK HERE
Payment Options
A. Three Payments:
(For fees over $1,000) Total patient obligation may be divided as follows: 50% due at the first treatment; with the remaining balance split into two equal payments, due 30 and 60 days after the first treatment visit. For any fees under $1,000, the full payment is due at the initiation of any procedure.
Note: Remaining payments will be written at the initiation of the treatment, “post-dated” for 30 and 60 days. Our guarantee: If a post-dated payment is deposited before the date on the face of the check (or credit card slip), we will credit your account for an amount equal to and in addition to that payment.
B. Low Monthly Payments:
In order to facilitate access to the very best health care possible, you may choose from any of the following: Cash, Personal Checks, Visa, Mastercard, American Express, or Discover.
We offer extended payment plans with our payment partners:
- Cherry Financial: withcherry.com
- CareCredit: carecredit.com
All of these companies have 12 or 24-month INTEREST-FREE plans available for your convenience! Balances over 60 days will incur a finance charge of 18% APR.
Insurance
It is our pleasure to assist you in maximizing your insurance benefits by completing your claim forms. Your claims will be processed before the end of the treatment day if your carrier is up to date (in 70% of the cases). As a courtesy, we can estimate your co-payment. Please understand that this is only an estimate, and is based upon the information available to us. Some plans cover as little as 30% or as much as 100% of dental services, with most falling in the 40% to 80% range.
Some plans base the amount of benefit on a schedule of fees arbitrarily developed by insurance companies. For this reason, you may receive a lower percentage than the reimbursement level indicated in your dental plan. For example, if your plan states that it will pay 80% of the cost of a treatment, it means 80% of the fee arbitrarily determined by the insurance company and not the actual fee charged by our office. The insurance company is responsible to you, and not to our office. We will assist you in any way that we can. If, for any reason, we have not received your insurance carrier’s payment 90 days after the claim, the remaining balance will be due and payable by you, and subject to 18% APR.
Our financial menu provides many affordable payment choices for our patients. Feel free to discuss these options with any of our staff.