New Patient Information
Welcome to Northbridge Smiles, your trusted dentistry practice in Northbridge, MA. Our dentist, team, and state-of-the-art offices will put you at ease from the moment you arrive. At your first appointment, a member of our team will greet you warmly. Then, we’ll review your new patient documents, answer any questions you may have, and walk you through our new patient exam process. If you would like, we can take you on a tour of the office. We’ll proceed by capturing diagnostic images, and the doctor will introduce herself and visually evaluate your smile. One of our skilled hygienists will carefully clean your smile, and finally, the dentist will walk through any areas for concern and possible treatment options. This final consultation is our opportunity to build a partnership with patients. We want you to feel like an active participant in all of your oral health care choices.
NEW PATIENT FORMS
Before your appointment, we invite you to complete new patient forms online. These documents allow us to offer you personalized treatments from your very first visit. If you have questions while completing these forms, we invite you to contact our team. We’ll be happy to help you complete your documentation.
New Patient Paperwork Informed Consent for General Dental Procedures. Acknowledgment of receipt of notice of privacy practice. Endodontic Treatment Consent. Periodontal Scaling and Root Planning Informed refusal (X-Ray Consent Withheld) Information and Informed Consent for Extraction of Teeth and Anesthesia. Informed Consent for Dental Treatment.
We Take Your Insurance!
Team works hard to maximize this coverage for our patients. We’re in-network providers with most major PPO plans, which mean we’re able to offer patients with these plans more complete coverage. We’re happy to process and file claims for most major insurance providers. If you have questions about your policy, don’t hesitate to ask one of our knowledgeable team members.
- Our office is in-network with the following PPO insurance plans:
- BlueCross BlueShield
- Delta Dental
- United Healthcare
+ many more! Contact Us to find out if we take your plan.
We accept Mass Health & Financing Available
We want to make sure dentistry services are affordable for all of our patients. We accept MassHealth and we will take payment in the form of cash, check, and major credit card for out of pocket expenses at the time of service. For those patients who are unable to cover the out of pocket costs of care, we’re happy to work with CareCredit. This is a third party medical and dental financier that offers qualifying patients affordable low and no interest payment plans.Apply for CareCredit