For New Patients

FINANCIAL INFORMATION

At Compassionate Dentistry, we accept most dental insurances for your convenience. If you have questions about your insurance or would like to verify that your insurance is accepted, please call our office.  We are no longer accepting new Patients under BC/BC CareFirst except for the Federal Employee Benefit plan 104/105 and 111/112 as of January 30 2020. We are no longer considered in Network providers for United Concordia Tri-Care plans, Concordia Flex, Advantage  or John Hopkins US Family Health Plans. We are Participating with Concordia Advantage Plus.   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 at our office in Glenelg, we invite you to contact our office and speak with one of our knowledgeable, compassionate team members today. We look forward to providing you with the answers you need.NEW PATIENT FORMS


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)