OK. LET'S GET SOME PAPERWORK OUT OF THE WAY.
We’re happy that you’ll be visiting us soon. Help us get to know you, and get your Fiant Dental record established, by completing these 3 forms. Bring the completed forms with you to your first appointment.
Here are some services you may receive at your first appointment:
- REGISTRATION FORM (PDF)
- MEDICAL & DENTAL HEALTH FORM (PDF)
- HEALTH INSURANCE PORTABILITY & ACCOUNTABILITY ACT (HIPAA) (PDF)
If you’re transferring from another dental office, please bring your previous dental records and radiographs (x-rays). Or you can request that your records be mailed to Fiant Dental by providing your previous dental office with this record transfer request.
- TRANSFER OF DENTAL FORM (PDF)
Complete this application if you’re interested in 90-day no-interest financing options for your dental care.
- CARECREDIT® APPLICATION (ONLINE)