NORTHGATE DENTAL FINANCIAL ALLIANCE

WE BELIEVE THE DISCUSSION OF FINANCIAL ARRANGEMENTS CREATES AN UNDERSTANDING AND A PARTNERSHIP THAT HELPS YOU ACHIEVE YOUR GOALS FOR YOUR DENTAL HEALTH.

  • We make every effort to work within your budget. Our role is to help you understand your options for treatment and to provide you with excellent service. Our team will work with you to determine financial arrangements that work for you.
  • We accept Visa, Master Card, Discover, American Express, Cash and Bank Certified Check.
  • Credit check is required for in office financial payment plans, and is not applicable for amounts less than $1,500.00 and these amounts must be paid at time of service.

PAYMENT FOR SERVICES

We require all balances to be paid in full at the time of service.

  • INSURANCE

  • Please type in your name, authorizing this form and that all information is correct.