605 338 9242
 
2001 West 45th Street, Sioux Falls, SD 57105
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New Patients

New to our family? Great! We are excited for you to become a part of Family Dental Center, where we make smiles happen! We look forward to meeting you!

We pride ourselves in making your appointment as easy and comfortable as possible, so we ask for you to please complete our new patient form online prior to coming to our office for your initial visit. This will minimize your time completing paperwork when you arrive at our office, and also allow for us to better prepare for your visit.

In order to complete your new patient form, please click on the “New Patient Profile” option below, allowing you to enter in your name and appointment date. Once you have submitted this information, please click on New Patient Information Form. After entering your information, you are able to send it directly to us.

We sincerely thank you for completing your New Patient Information Form prior to your visit. Once you have been seen at our office, we are happy to assist you with creating your own on-line Profile, which is uniquely integrated with your account at our office. Creating your Profile will allow for you to view both your balance and appointments, along with update your account information.

Our goal is to provide the highest quality of dental care possible and to have clear communication about our financial policy.

Payment options:

ALL accounts are due and payable at the time of service.  If a procedure requires multiple appointments, payment is required in full at the first appointment.

Patients with insurance:  The patient IS RESPONSIBLE for the ESTIMATED non-covered portion, procedure and/or deductibles at the time of the service.  While we attempt to assist patients as much as possible, the PATIENT is ultimately responsible for understanding their insurance coverage.  This includes waiting periods, deductibles and coverage.  If you do not understand your policy or coverage, please request this information PRIOR to your appointment.

Parents not accompanying their child to an appointment must make prior arrangements for payment (cash, check or credit card authorization).

For additional information about HIPAA rules & regulations, click here.

Please feel free to contact us if we can be of assistance. We look forward to creating a lasting relationship with you at Family Dental Center!