New Patient Information
At Capital City Smiles, your first appointment includes a thorough exam and gathering any information that our dentist must be aware of in order to provide care specifically to your oral health. We understand that all patients are different and require individualized care.
In order to provide you with the best level of care, we need to get some information from you. Please fill out your new patient forms below, or plan to arrive 15 minutes early to your appointment to complete them in the office.
New Patient RegistrationMedical History Forms
Insurance Accepted - ask us for which providers we accept.
- Humana
- Guardian
- United Healthcare
- Delta Dental
- Cigna
- Metlife
- BlueCross / BlueShield
- Principal
We finance through CareCredit and Cherry Financing, ask us how
Popular Payment Options
We accept the following payment options so you can get the dental care you need when you need it.
- Checks
- Visa, Mastercard, American Express
What Every Patient Can Expect
At our practice, every patient can expect to be treated with prompt service at their specified appointment time. Our patients can also look forward to a comfortable experience. We understand that visiting a new dentist can be stressful, which is why our practice works actively to accommodate all patients and alleviate any fears they may have about a new dentist or dentistry treatments. Familiarizing yourself with our practice, services, and our dentist is a great first step to creating a long term and comfortable experience with dentistry.
