accessibility ACCESSIBILITY

Appointment

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete an online appointment request.

Note to parents of children under 18: Please arrange to remain at our office during your child’s appointment until your authorization can be obtained for necessary treatment.

 

Please be advised that a $25 fee will be charged for appointments canceled with less than 24 hours prior notice and for failed appointments.

Patient Forms

Brown-McMullen-Wisse Dental Associates recently converted to paperless charting.  When you visit our office, you will be asked to complete and sign the following forms electronically using a tablet computer.  We will gladly assist you in the use of the tablet computer.

The Patient Forms below are provided for your review and to give you ample time to collect the required information.  Please call our office if you have any questions at all.

Patient Forms 

Health History 

Responsible Party/PHI

Notice of Privacy Practices (Revised 8/22/2016)           

 

    This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.


Payment Options

For your convenience, we accept cash, personal checks, money orders, and the credit cards listed below.

Payment is expected at the time services are performed.

When more extensive dental care is necessary, financial arrangements can be made with our office.

Dental Insurance

As a service to our patients, our accounting staff will prepare and submit all the necessary forms for your dental benefits. However, we remind you that your specific policy is an agreement between you and your insurance company. Please keep in mind that you are responsible for your total obligation should your insurance benefits result in less coverage than anticipated. Our staff will gladly submit a pre-treatment estimate to your insurance company so that you will know what your benefits will be.

The fees charged for services rendered to those who are insured are the usual and customary fees charged to all our patients for similar services. Your policy may base its allowances on a fixed fee schedule, which may or may not coincide with our usual fees. You should be aware that different insurance companies vary greatly in the types of coverage available. Also, some companies take care of claims promptly while others delay payment for several months.