NEW PATIENTS

WELCOME! WE'RE EXCITED YOU'RE HERE

Welcome new patients! At Pacific Crest Dental Group, our focus is on delivering exceptional dental services while caring for you like you're family.

The information provided below will be helpful as we begin our work together. Should you have any questions in the process, please don’t hesitate to call or message us on our contact page.

We look forward to caring for you!

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NEW PATIENT FORMS

Save time by printing out these forms, filling them out and bringing them in with you before you come in for your appointment.

Patient Release of Information Form

Medical History Form

Pacific Crest Dental Group Patient Information Sheet & HIPAA Privacy & Cancellation Form

Patient Dental Records Release Form

INSURANCE

We work with and accept the following insurance providers...

Dental Lifeline Network

Premier provider with MODA/Delta Dental

PPO provider with United Concordia (and their umbrella plans)

BILLING & PAYMENTS

Payment is due at the time of service. We accept Visa, MasterCard, Discover, and American Express.

Payment plan and billing options include:

Care Credit

The Lending Club

Veteran Affairs Purchased Care

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Make our team YOUR team!