New Patient

Information

New Patient Forms and Financial Policies

CLICK HERE to download our New Patient forms, including a written copy of our financial policies

 

Thank you for choosing Dr. Karl-Martin Wiklund. Our primary mission is to deliver the best and most comprehensive dental care available. An important part of the mission is making the cost of optimal care as easy and manageable as possible by offering several payment options.

 

Payment Options 

 

  • Cash

  • Check

  • Credit Card

    • MasterCard/Visa

    • American Express

    • Discover

  • Convenient Monthly Payment Options* from CareCredit Healthcare Credit Card

    • Allows you to pay over time

    • No annual fees or pre-payment penalties

 

Please note:

 

Our office requires payment prior to the completion of your treatment. If you choose to discontinue care before treatment is complete, you will receive a refund less the cost of care received.

 

We are happy to work with your dental insurance carrier to best utilize and maximize your benefits.  We will submit your procedures electronically for reimbursement of your treatment. **

 

A fee of $50 will be incurred for patients who miss or cancel more than three times within 12 month period without 48 hour notice.  Returned checks will be billed a fee of $25.00.

 

If you have any questions, please do not hesitate to ask a member of our friendly staff!

 

* Subject to credit approval

** If we do not receive payment from your insurance carrier within 60 days, you will be responsible for payment of your treatment fees and collection of your benefits directly from your insurance carrier.