New Patients & Financial Arrangements

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New Patient Paperwork Portal

The credit card holder authorizes to charge the agreed amount listed above to my credit card provided herein. I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement.

Are you interested in becoming a new patient? We would love to meet you and show you how we provide a different dental experience! Please request an appointment via email by filling out the form below and either Amy or Kristin will respond within 48 business hours.

We are also happy to schedule you over the phone. Please call our office at (970)349-5880

We are contracted with many different insurance companies and we also accept many insurance plans that we are not directly contracted with. Prior to any treatment, we perform a complimentary benefits check with your insurance so you are aware of any financial investment you may be responsible for prior to treatment being completed. Please know that as a courtesy, our office submits your dental claims for you, giving you one less thing to worry about!

To help you cover any out of pocket dental care, we offer CareCredit, the nation’s leading client payment program. With Care Credit you can finance 100% of your treatment with no upfront costs, no annual fees, and no pre-payment penalties.

No Insurance? No Problem!

We have created our own discount plan to create a more affordable option for our patients. Please call or email our office at office@crestedbuttedentist.com to get more information for you and your family.

Our goal is to provide excellent and affordable care that fits your budget. We offer a variety of payment options including cash, checks, Visa, MasterCard, American Express and Discover.

Patient Registration

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