Print & Complete Forms Before Arriving.
Minimum Payment Notes
Payment is due at the time of your appointment. Payment amounts are as follows:
Medicaid without a Copay or VA = $0.00
Medicare without a Secondary = $15.00
Sliding Scale = See Sliding Scale Info
Insurance with a Deductible (Without a Copay) = $60.00
Self pay Contract = $60.00
What should I bring with me on the day of my appointment?
Please remember to bring all your medications and/or prescriptions to your appointment. Also, notify medical/dental personnel of any changes in your medications since your last appointment.
If you are a new patient or have not been seen within the last year, you must complete a registration form.
Please remember to bring your insurance card(s) with you to your appointment. If you do not have insurance you may apply for the sliding fee discount.