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Patient Forms

 
(801) 745-3882

 Save time at your first visit by printing and filling out these forms before you arrive:


PATIENT INFORMATION

DENTAL INSURANCE INFORMATION FORM

 New Insurance List

Payment Options

On Call Club
(For those with no dental insurance and a flexible schedule.)

Burton Dental Plan
(Bi-Annual Preventative Care Visit Coverage, and 20% discount on all dental services performed in our office when paid in full at the time of the appointment.)

Information:

Financing

Care Credit  (to sign up for finance treatment plans of $300 or more)

Notice of Privacy Practices

 

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