Patient Information

New Patient Form

Please download and fill out the form below and bring it with you to your first visit.

New Patient Registration

Free Acrobat Reader is needed to view the forms. You can download it here.

Insurance Information

We accept most PPO and Premier dental plans. Some of the insurances we accept include Delta Dental PPO and Premier, Cigna PPO, Aetna, Assurant, Aetna, and many others. Please call our office at (530) 666-2117 to check with our team about your specific insurance coverage.

No Insurance?

No Problem! Join our in-office membership program through Kleer.

Apply for Kleer Membership Plan

Payment Methods Accepted

Our office accepts cash, checks, and major credit cards (Visa, Mastercard, Discover, American Express)

Interest-Free Dental Care Financing

We offer flexible financing options through CareCredit and Dental Finance. Please inquire at our office at (530) 666-2117 for more information.

Special Offers for New Patients

We offer the following special offers for new patients:

  • $79 – emergency exam and x-ray
  • $129 – exam, x-rays and healthy mouth cleaning (applies only to patients without dental insurance, can apply towards in-office membership)
  • Complimentary whitening trays for new patients of record (only if the patient is in a healthy oral condition).