New Patient Information

New patients are always welcome!

If you'd like to schedule an appointment, please call our office at (217) 762-4366.

We ask that all new patients arrive at least 15 minutes before their first appointment in order to fill out paperwork.

If you'd like to print out a copy of the paperwork, fill it out, and bring it with you, that's fine.

New Patient Information Form

Privacy Policy

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Please read through the information below prior to your first visit. Thank you.

First Time Visit FAQ's

Do I need to bring anything with me?

Yes, there are several things you need to bring with you to facilitate the paperwork process.

Please come prepared to answer questions about:

Please let us know if:

How soon can you get me in for an appointment?

It depends on what you need an appointment for.

How can I pay for your services?

You can pay for your office visits and any treatments by cash, check, credit or debit card, and money orders at the time of treatment.

What credit cards to you accept?

Visa, Discover, Master Card, and American Express

Will you send me a bill or do I have to pay at the time of service?

According to our office policy payment is due at the time of service. If you have insurance we will estimate how much the insurance is likely to pay and you only pay your estimated portion at the time of service. If you do not have insurance you must pay the entire portion at the time of service.

What insurance do you accept?

We accept ALL major dental insurances. We are a PPO (preferred provider) for Aetna and a Premier provider for Delta Dental.

Check with your health insurance provider to see if your coverage includes dental procedures. Just because you have health insurance doesn't mean you have dental insurance.

Do you accept Medical Card (public aid) patients?

Yes, but only if you live in Piatt county.

What is your cancellation policy? Will I get charged?

We require at least 24 hours notice in order to cancel your appointment. This ensures that if you are not able to make it to your appointment we can find someone else to take your place. If you do not cancel and do not show up for your appointment we will mark the appointment as "missed". After two "missed" appointments you will be charged $20. After three missed appointments you will be charged $50 and you will have to pre-pay for any future visits.

I have anxiety concerning dentists. Do you offer gas to relax you?

No, we do not provide gas but we will prescribe you Valium to take an hour before your appointment to relax you. If this is the case, please let us know before you arrive for your appointment and please remember that if you have taken Valium, you need to have someone else drive you to your appointment for safety reasons.

Can I bring my kids? How young? What if my kid is scared?

Yes. Children of all ages are welcome. We ask that if you have children under the age of 5, you do not leave them in the waiting room unsupervised. If your child is scared the best thing you can do for them is to be calm. If you are nervous about coming to the dentist then they will be too. See our Parent Information page for more details.

 

If you have more questions, please visit our Frequently Asked Questions page.