New Patient Information
At Pleasant Valley Dentistry, your first appointment includes a thorough exam and gathering any information that our dentist must be aware of in order to provide care specifically to your oral health. We understand that all patients are different and require individualized care.
Online Forms
Patient Portal
Online Appointment
Downloadable Forms
Patient Intake Form
Patient Update Form
HIPAA Consent Form
COVID Screening Form
Insurance Form
Pre-Op Sedation Questionnaire
Insurance Accepted - We currently accept all PPO Insurance plans:
- Aetna PPO
- Delta Dental PPO
- CIGNA PPO
- Guardian PPO
- MetLife PPO
- United Concordia
We finance through CareCredit, Proceed, Cherry Financing and iCreditWorks, ask us how
What Every Patient Can Expect
At our practice, every patient can expect to be treated with prompt service at their specified appointment time. Our patients can also look forward to a comfortable experience. We understand that visiting a new dentist can be stressful, which is why our practice works actively to accommodate all patients and alleviate any fears they may have about a new dentist or dentistry treatments. Familiarizing yourself with our practice, services, and our dentist is a great first step to creating a long term and comfortable experience with dentistry.
