For New Patients

FINANCIAL INFORMATION

At Compassionate Dentistry, our front office team will verify and file your insurance claims for your convenience. All insurance policies are unique and some can be complicated. If you have questions about your insurance or would like to verify that your insurance is accepted, please call our office. Our exceptional and knowledgeable front office staff is always willing to answer any questions you may have.

We accept a number of payment options at our office, including:

  • Cash
  • Check
  • Visa
  • MasterCard
  • Discover
  • American Express

If you have any other questions about your financial options, we invite you to contact our office and speak with Del, Karen or Jessica they are here for you when you need them. They look forward to providing you with the answers you need.


NEW PATIENT FORMS

Would you like to prepare for your visit at Compassionate Dentistry? Then complete our patient forms in advance! You can download, print and complete the forms and bring them with you at the time of your appointment. Either way, completing the forms in advance can save you time at your visit. Call our office in Glenelg today if you have any questions!

New Patient Registration (Download)

New Patient Health History (Download)

Child Registration Form (Download)

Child Acknowledgement And Financial Policy (Download)

Financial Policy (Download)

IMPORTANT INFORMATION FOR INSURANCE PATIENTS (Download)

HIPPA Notice of Privacy (Download)