New Patient Forms

• Dental History (PDF)
• Medical History (PDF)
• Office Policy (PDF)
• HIPPA Authorization (PDF)
• Patient Registration Form (PDF)
• Request to Communicate Electronically (PDF)
• Notice of Privacy Practices (PDF)

Release Forms

• X-Ray release form (Word Doc)
• Pregnancy release form (PDF)
• Medical Release form (Word Doc)
  

Financing and Insurance information

Thank you for choosing Green Valley Dentalcare. Our primary mission is to deliver the best and most comprehensive dental care available by providing consistent quality care to our patients through education, communication, and superior patient service. An important part of that mission is making the cost of optimal care as easy and manageable for our patients as possible by working with several dental insurance companies and offering several payment options.

Payment Options:

• Cash
• Check
• Visa/Mastercard
• Carecredit