New Patients

For optimal dental health, we recommend that you have a complete dental exam and cleaning once every six months. This ensures that your teeth are well-maintained and any problems are spotted early, before they become of significant concern.

What to Bring

Please arrive 10-15 minutes early to fill out necessary paper work. You can save time by downloading the Patient Information, Medical History, HIPAA and Financial Policy forms below.  Please print and fill out the following forms, and bring them with you to your first appointment.

Click the links below to download these PDF forms:

What else you should bring with you to your first dental appointment:

  • Records and/or x-rays from previous dental providers
  • Dental insurance card
  • The co-payment required by your insurer – we take cash, check, and most credit cards
  • A list of the medications you take and/or allergic to

If you have recent x-rays taken by another dentist…

We do accept x-rays from other dentists as long as they are of diagnostic quality and are current. Bitewing x-rays must have been taken within the past six months, and Panorex x-ray within the past five years. X-ray copies must not be too light or too dark. If the x-rays we receive from other offices are of poor quality, Dr. Stanfield will decide to retake if necessary.

“I love welcoming new folks into our practice and making them feel comfortable and at home here.  If it weren’t for our patients, we wouldn’t be here.  — Carol Gonet”

What to Expect

We will perform a complete, accurate assessment of your dental needs prior to any treatment, even before a dental cleaning. This comprehensive examination includes:

  • Digital Radiograph Exam
  • Oral cancer screening
  • Gingival (gum) exam
  • An assessment of TMJ function
  • Occlusal (bite) evaluation
  • Charting and assessment of existing restorations
  • Clinical examination of the teeth for cavities, fractures, and other problems.

The entire exam takes approximately one hour and ten minutes.

Financial Policy

We strive to deliver the highest quality, cutting edge dentistry to our patients. We are dedicated to ensuring you get the dental services you require without causing you significant financial hardship.

As a service to you, we file dental forms for you and will accept payment directly from insurance companies. We must have a copy of your most recent insurance card in order to send them claim to the correct location, and file appropriately. Carol, our insurance specialist, will work with your insurance company to assist in maximizing your dental benefits in relation to treatment needed. Your dental co-pay – the amount your insurance does NOT pay – is due on the day services are rendered.

For any services not covered by insurance, we have several standard payment options available including cash, check, Visa, Discover and MasterCard.

For larger cases, we offer financing options through CareCredit, including:

  • Short-term, no-interest payment plans (6 months/1 year)
  • Treatment must exceed $300 in order to process payment in office

There are no annual fees or prepayment penalties. The approval process is simple, and needs to be completed prior to your arrival. If you have any questions regarding the application process please contact our office (336) 884-8989, or CareCredit directly – 1(800) 365-8295.

(Please note: We do not accept HMOs or PPOs, and we charge $10 for returned checks.)