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​ // Patient Forms

Patient Info

If you are a new patient to our office, the attached file contains our new patient bundle forms. To help optimize your appointment time, please arrive with the following forms completed. If you are unable to print at home, please arrive 20 minutes prior to your booked appointment.

If you have any recently taken x-rays from another office and wish to forward a copy to us, please contact our office.

Insurance Policy

As a service to our patients, our practice accepts most dental insurance programs, including non-managed care, indemnity (traditional) and PPO out-of-network. We are not part of any managed care network. Our administrative staff will prepare all the necessary forms for your dental benefits. However, we remind you that your specific policy is an agreement between you and your insurance company. Please keep in mind that you are responsible for your total obligation should your insurance benefits result in less coverage than anticipated. Our staff will gladly submit a pre-treatment estimate to your insurance company so that you will know what your benefits will be. Please be advised that most dental plans will send correspondence to the insured member only. To obtain a more accurate estimate of your treatment plan, the patient must forward a copy to our dental office.

The fees charged for services rendered to those who are insured are the usual and customary fees charged to all our patients for similar services. Your policy may base its allowances on a fixed fee schedule, which may or may not coincide with our usual fees. You should be aware that different insurance companies vary greatly in the types of coverage available. Also, some companies take care of claims promptly while others delay payment for several months.

Coast Dental Centre follows the suggested BC Dental Fee Guide of the current year. For additional helpful information please click on links below:

Cancellation Policy

Our dental office requires 48-hours cancellation notice in which case no charge will be made. This policy is to ensure that our staff is provided with enough time to allocate appointment to another patient in urgent need of treatment. In the event that a patient does not show up or short-cancels, a cancellation fee will be charged on the account.

Payment Options

For your convenience, we accept cash, personal checks and major credit cards. Payment is expected at the time services are performed.

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