New Patient Information
At our dental clinic in Gothenburg, Nebraska, we understand that visiting a new healthcare provider can sometimes be stressful, especially when you're unsure what to expect. That's why we want to make the process as smooth and simple as possible for our patients.
One way we do this is by providing access to our patient forms online. By filling out these forms before your first appointment, you can save time and reduce stress. You can also review the forms and prepare any questions you may have for our team.
To access our patient forms, simply click on the link below. You will be directed to a secure online platform where you can complete the forms in the comfort of your own home. You can also print them out and bring them with you to your appointment if you prefer.
The forms will ask for basic information such as your name, address, and contact information, as well as your medical and dental history. It's important to provide accurate and complete information so that our team can provide you with the best possible care.
If you have any questions or concerns about the forms or the information requested, please don't hesitate to contact our office. We're here to help you have a positive dental experience and achieve optimal oral health. Thank you for choosing our dental clinic in Gothenburg, Nebraska. We look forward to serving you!
New Patient Forms
Payment Options
For your convenience, we accept cash, personal checks, money orders and major credit cards. Payment is expected at the time services are performed. When more extensive dental care is necessary, financial arrangements can be made with our office.
Insurance
As a service to our patients, our practice accepts most dental insurance programs, including non-managed care, indemnity (traditional) and many PPO networks. Our accounting staff will prepare 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.
Care Credit
Our office deals with Care Credit which can be a great option for those who would like to recieve care now and pay monthly payments later. This option that we provide offers clients 0% interest financing for 6 to 12 months. More can be learned about Care Credit by clicking the logo below.
