Whether you are here for your child’s first visit to the dentist, a routine cleaning or severe oral complications, you can expect expert dental treatment in a friendly and comfortable environment.
Dental treatment is often put off due to fear of the dental experience. We understand and pledge to do our best to ensure you have a pleasurable dental experience in our office.
- Health History Form
- Dental History Form
- Acquaintance Form
- Financial Agreement (PDF) print & sign
- Consent to Treatment Form (PDF) print & sign
- Records Release
If you do not have AdobeReader® installed on your computer, Click Here To Download.
For our TMJ Patients only:
- TMJ Medical Online form (this will open in a new browser window)
Rock Dental is committed to giving you specialized care at a reasonable fee. For your convenience we accept all major credit cards. As a courtesy to our patients who have dental insurance, we will complete and submit your claim to your insurance carrier for you.
We will make every effort to estimate your costs before your visit so that you can be prepared. Payment is due at the time service is rendered unless other arrangements have been made in advance.
Most insurance companies respond within four to six weeks, and you will receive a monthly statement.
You are responsible for all fees not covered by insurance. If additional tests are needed such as lab work or a biopsy, you will be billed directly by those providers and will be responsible for submitting payment directly to them.
Your prompt payment is appreciated. Payment arrangements may be considered if discussed in advance of treatment.