New Patient Forms & Information

Welcome to our practice! To make your first appointment with us run smoothly, we ask that all new patients fill out a patient information form. If you have any questions at all, please call our office at (228) 875-3343.

Download our New Patient Forms now


You are responsible for the full cost of your treatment on the day of your visit. We accept payment by cash, credit, or check, and we also provide financing options. Please refer to the patient information form for our full payment terms.

Missed Appointments

Please provide 24 hours notice that you need to cancel an appointment. We charge a $65 cancellation fee for missed appointments and appointments canceled with less than 24 hours notice.

Dental Insurance

Please carefully read the dental insurance information on our patient information form. We will attempt to provide you with an estimate of what your dental insurance may pay, but note that you are responsible for the total cost of your treatment. When you come for your first visit bring your insurance booklet or insurance card, or a copy of a signed insurance form.

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