Forms & Payment Options

Patient Forms

Our goal is for your visit to be one of comfort and acknowledgement of all your dental needs. At Shelby Dental, we believe in offering our patients a comfortable experience an professional care. We strive to make sure every visit offers our patients a unique and personalized approach to improving oral health.

Please click on the links below to download our office forms. Complete, sign, and bring with you on your next appointment.

• Shelby Dental New Patient Form

• Medical + Dental History

• Notice of Privacy Practices

• Authorization for Picture Usage

• Post Op Instructions Oral Surgery

Payment Options

At Shelby Dental, we believe that receiving he care you need shouldn’t be complicated. Our highly-experienced team is dedicated to helping you understand your insurance policy including what you can expect regarding coverage, before your treatment even begins. For patients with minimal or no insurance, we also accept Care Credit financing- a low-interest, highly affordable payment plan =that can help patients receive medical and dental care when they need it. For your convenience, we accept several major dental insurance plans, including Guardian PPO, Delta Dental Premier and PPO, Cigna DPPO, MetLife, and more!

Before treatment your treatment begins, we will discuss any and all of the following payment options:

• Insurance

• Minimal / No insurance

• None of the work for you? Let us customize a finance plan based on your needs.