New Patient Forms

To save yourself time in our waiting room, we invite you to download and complete your new patients forms from the comfort of your home.

Flossing Video Link

Brushing PDF Guide

Flossing PDF Guide

Call Today:

(563) 355-0283

Medical History Form

Patient Information Form

Payment Options

Our objective is to present you the financial options and education to help you make proper decisions on the dental treatment you need and desire.

We offer several payment options to allow your dental treatment to fit your personal budget. For your convenience, we accept the following forms of payment:

Cash
Personal Checks
Credit Cards: Mastercard, Visa and Discover
Most traditional insurances plans. We do not accept Medicaid. If you have any questions or uncertainty regarding your insurance coverage, please don’t hesitate to call us. We are here to help you. Please remember to review your insurance coverage carefully. Your coverage is a contract between you and the insurance provider – you will be responsible for any expenses not covered by your insurance.

Preventive Care

Preventive dental care is worthwhile throughout your life, no matter what your age. By practicing good oral hygiene at home and scheduling regular checkups with our office, you can help keep your smile bright and healthy for many years to come.

Here are a few simple ways you can prevent the build-up of plaque and cavities:

Brush your teeth twice a day with a soft-bristled brush. Use an ADA-accepted fluoride toothpaste to remove food particles and plaque from the tooth surfaces. Also be sure to brush the top surface of your tongue to remove bacteria and keep your breath fresh.
Clean between your teeth by flossing at least once a day. You can also use a mouthwash to help kill bacteria and freshen your breath. Decay-causing bacteria can linger between teeth where toothbrush bristles can't reach. Floss and mouthwash will help remove plaque and food particles from between the teeth and under the gum line.