Patient Forms:

Financing to fit your needs

Dane Dental is an enrolled provider for Care Credit financing on qualifying services. Open a Care Credit account, then pay off charges for your dental services monthly, often with no interest thanks to promotional offers/periods.

Simple payment arrangements and claims

Our dental office is a contracted provider with Delta Dental insurance. We also accept most other insurance plans and will submit claims on your behalf. Copays are due at the time of service. Our dental clinic staff is happy to help you with insurance & copay arrangements.

Patient Forms >>

Download the forms you need

Before your first appointment, please complete these forms to assist us with your care. Download and print the forms for home completion or arrive 15 minutes before your appointment time to complete them at our dental clinic.

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