Your First Visit with Dr. Quinn Family Dentistry

Our team works hard to make sure that your first visit is smooth and easy. We offer convenient scheduling and pledge never to overbook appointments so that you receive personalized treatment and never have to wait. We offer dental care for the entire family. Our front office staff makes it quick and seamless to fill out the appropriate paperwork and will walk you through your payment options. Click the links below to print and fill out paperwork before you even visit our office.

 

New Patient Forms

Health History Form

Financial Policy Form

Notice of Privacy Practices

Acknowledgement of Receipt of Notice of Privacy Practices

 

Financial Policy

NO SHOW APPOINTMENTS:

  • We accept cash, all major credit cards and Care Credit.
  • All non‐cancelled hygiene appointments will be charged a $25.00 service fee.
  • All non‐cancelled doctor appointments will be charged a $50.00 service fee.
  • These fees may be applied for cancellations within 24 hours of your appointment.
  • Patients with three or more no show appointments may be subject to dismissal from the practice.

LATE APPOINTMENTS:

  • Patients more than 10 minutes late may be required to reschedule and a service fee may be applied.