Dear New Patient,
I would like to extend to you a warm welcome on behalf of our office staff. Thank you for choosing us to contribute to your dental health and well-being. Most of our patients are introduced to our office by referral. When one recommends us to a friend, we consider it a great compliment.
We are committed to delivering the most current state-of-the-art care in a relaxed, friendly environment. The office takes special pride in their experience, caring skills, and the esthetic results of our treatment.
Our office streamlines insurance processing and account handling. Our system enables us to provide you with a fee estimate and account statement at the time of service. As a courtesy to you, we will file your visit with your insurance carrier for dental benefits. Co-payments are expected to be paid at the time of service. If it is necessary to extend payments, we provide our patients an opportunity to pay off their balances interest-free for up to 90 days. For those patients who prefer to finance their care over 90 days, we offer extended six or twelve-month interest-free terms through Care Credit and Wells Fargo. We want to make dentistry an affordable choice for your health care.
Please fill out the enclosed patient registration forms and bring them with you to your visit along with your insurance card if you have dental coverage. Your new patient appointment will be scheduled with Dr. Kotsianas for a full set of Xrays and a comprehensive exam. Your dental cleaning appointment will be scheduled after your initial exam.
For more information about our office, please visit our website at www.kotsianasdds.com. Follow us on Facebook for updates and helpful information. Once again, welcome to our office. It will be our pleasure to meet you.
Sincerely,
James F. Kotsianas, DDS
New Patient Paperwork
HIPAA Privacy Notice
Payment Information