Brice Dental Smiles
Neeru Sharma, DDS, MS
General Dentistry and Prosthodontics
Call: (614) 866-6338

New Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

 

Patient Forms

 


Payment Options

For your convenience, we accept cash, personal checks, money orders, major credit cards.

We also work with:

Lending Club:  https://www.lendingclub.com/patientsolutions/check-your-rate?clientid=199819

CareCredit:  <a href="https://www.carecredit.com/apply/confirm.html?encm=VTRVbARmAWQAPAVhBDAMZQY8XjsAb1JgUzRVZANmUWU&?sitecode=B3CALAdToolkitANCard"><img width="275" style="max-width:100%;" src="http://www.carecredit.com/adtoolkit/assets/pages/library/buttons/280x100/CareCredit_Button_ApplyNow_280x100_a_v1.jpg"/></a>

Payment is expected at the time services are performed.  

Feel free to contact our office If your treatment plan requires more comprehensive dental work and you want to discuss financial arrangements.

Visa MasterCard American Express Discover

 
Dental Insurance

We are preffered providers (PPO) for several dental insurance plans including Aetna, Anthem 300, Assurant, Cigna, Connection Dental, Delta and Delta EPO (Medigold), Dentegra, GEHA, Guardian, Humana, Metlife, Principal, The Dental Care, United Concordia and United Health Care. Please contact our office for Insurance details.  We look forward to hearing from you.



Testimonials

View More