Platinum Dental

 

 

 

 

HIPAA Privacy Form - click to open a copy of our office HIPAA Privacy policy.

 

Health History Form - click to open a copy of the form. Please print and fill out the forms.  Then bring them to your appointment. You may also fax this to our office before your appointment. The fax number is 903-535-9210.

 

Forma Historia de Salud- haz clic para abrir una copia de la formulario. Por favor, imprimir y llenar los formularios. Luego los trae a su cita. Pudrirá enviarlo por fax a nuestra oficina antes de su cita. El número de fax es 903-535-9210.

 

HIPAA Forma de Privacidad- clic para abrir una copia de nuestra politica de HIPAA.

 

Financial Policy- click to open a copy of the fianacial policy. Please print and fill out the form. Bring it to your appointment. You may also fax it to the office prior to your appointment. The fax number is 903-535-9210.

 

While we accept most insurance carriers we are not contracted with all of them. Please ask our office staff if we are a contracted provider with your particular insurance carrier. Most insurance carriers allow you to see a provider whether they are considered in or out of network. There are exceptions to this though. Some insurance carriers have different benefits for in network vs. out of network providers. Our treatment plan staff will make every effort to obtain your insurance benefits and estimate treatment costs. Financial arrangments must be made in advance. Limited payment plans are available. Care Credit and Lending Club are financing options that are available and offer no interest payment plans. Our staff is happy to help answer any questions you may have with your insurance or treatment plan.