Forms & Policies

Accepted Payment Methods

Along with cash we accept the following forms of payment:

Visa, MasterCard, American Express, Discover and personal check. We also offer CareCredit (Instant credit, No interest for 12 months) to help finance your dental care.

Missed Appointment Policy

We make every effort to value your time and we schedule your appointment time just for you.

We truly appreciate your courtesy of giving us 48 hours notice if you have a conflict with your appointment and need to schedule a different day or time. We are committed to your oral health and keeping your scheduled appointments allows us to be partners in your dental care.

It is our philosophy to continue to put our patients first and to make your experience a positive one. It is our policy that with less than 48 hours notice on a change of commitment a charge of $75.00 or more depending on the length of your appointment will be applied to your account. Thank you for allowing us to share our missed appointment policy with you and please let us know if you have any questions.

Sincerely,

Armando A. Battista D.D.S., P.C.

Child Medical History Form

Click on the links below to download and print the forms so that you can fill them out and bring them with you for your child's appointment.
Download page 1
Download page 2

Adult Medical History Form

Click on the links below to download and print the forms so that you can fill them out and bring them with you for your appointment.
Download page 1
Download page 2

Patient HIPAA Awareness Form

Please download, print and sign the HIPAA Awareness form and bring it to the office when you come in for your appointment.
Download HIPPA Awareness

Payment Options Form

Download, print and fill in this form to let us know how you will be paying for this. Please bring it with you when you come for your appointment.
Download Payment Option Form