For your convenience we have included in our website our patient information form. Please click on this link. You will need a PDF program to view the form, for example Adobe Reader. You will need to print the form and fill out the information. Please bring this form in with you at your dental visit.
Click here to fill out the patient forms online or the links below to fill out the forms by hand.
We want you to be comfortable and well informed at every phase of your individualized treatment. Of course, Dr. Brett and Dr. Kirby will discuss your treatment to your satisfaction, but we also provide visual aids.
Our goal is that you are completely informed concerning your condition and any treatment that will be performed.
Patients with certain medical conditions (e.g. valvular heart conditions, artificial joints) may need to pre-medicate with antibiotics before certain treatments. We do this with your safety in mind. Please inform us if you have a condition that might require pre-medication.
We are dedicated to helping our patients in an emergency. Please call the office at (605) 966-9944 and we will accommodate you as soon as possible.
In the event of a life threatening emergency, please call 911 or visit your nearest emergency room.
We are happy to file insurance forms with any insurance company. Please bring your insurance card or information with you to your appointment so we can better assist you.
Please understand, however, that you are ultimately responsible for payment of all services. Should your insurance not cover what is estimated, you will be responsible to pay any uncovered portion.
We accept cash, check, Discover, Visa, and Mastercard. Financing is also available through CareCredit. Payment is due when services are delivered. Please feel free to ask us about the payment options so we can find the one that best fits your needs.
Our accounts manager will be happy to answer your financial questions. She can be reached by calling our office at 605-996-9944.