At Darby Creek Dental, we enjoy being able to make your visits as smooth and enjoyable as possible – and that includes the very first one! Instead of having to spend lots of time in the waiting room when you first arrive, patients can now print the forms they’ll need to fill out and complete them in the comfort of their own home. Just remember to bring them with you for our team, and your appointment will be able to start that much faster.
New Patient Forms
- Patient Registration Form
- Medical Health History Form
- Policies & Authorizations Form
- HIPAA Notice of Privacy Practices and Acknowledgement of Receipt Form
Records Release Forms
Appointment Cancellation Policy
At Darby Creek Dental, we understand that sometimes circumstances arise that prevent patients from keeping appointments. It happens to the best of us! To support our facility in providing quality and efficient patient care, we require and appreciate a business days’ notice for any appointment changes. This allows us time to offer the appointment to another patient who may be scheduled out several weeks or for emergency patients.
WE RESERVE THE RIGHT TO APPLY A FEE OF $25.00 FOR ANY BROKEN APPOINTMENT WHEN A BUSINESS DAYS’ NOTICE IS NOT GIVEN.
Dental Insurance & Flexible Financing
At Darby Creek Dental, we work hard to ensure that our patients receive premium-tier dental care at prices that they can afford. We are in-network providers for several dental insurance programs, including Aetna, Delta Dental, Metlife, Cigna, Dentemax Network, United Concordia, GEHA, Humana, Superior Dental Care, & Connection Dental Network. We will happily file paperwork for other insurance programs and offer flexible financing options in addition to CareCredit to ensure that our patients are always able to get the treatment that they deserve. If you’d like to learn more about the dynamic options that we offer, call our office today!