Call us today! (440) 960-5200


Fast and Comfortable Dental Treatment  in the  Amherst  / Lorain Area

 Payments are Due at the Time of Service

 If you have questions about registration or our payment options,
give us a call at 440-960-5200!

    New Patient Registration

We recommend that you fill out our new patient form prior to your first visit to save time and expedite the process. The new patient form asks for your basic information, medical history and other pertinent information that we'll need before treating you at our facility.

You can access the form online by clicking below :

  • New Patient Form
  • Go to Link
  • Print Form to Fill out
  • Bring to Your First Appointment
New Patient Form
Child undergoing fast and painless dental implants in Lorain, OH

If you need assistance determining your payment or co-payment  or if we accept your insurance, give us a call. A third party finance company is available as a payment option with NO INTEREST if approved.  We're always here to help you!

Ask us about our NO INTEREST third party payment plan from
CitiHealth Card ! You can be pre-approved today!!
Call Us @ 440-960-5200
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