At Evergreen Dental Group, we know that your time is important. We also know that your family’s oral health should not ever be compromised. That’s why we make it as easy as possible for our first-time visitors. Our front desk team will greet you warmly as soon as you enter our office. We will walk you through the paperwork needed and will never keep you waiting. We also provide our paperwork online. You can print the forms below, fill them out and bring them in on your first visit for a streamlined and efficient experience. We are always welcoming new patients and we look forward to caring for you and your smile.

Financial Information

We accept cash, checks and all major credit cards. We also offer a senior discount. For extended credit, we offer CareCredit financing. Many of our patients take advantage of this because we pay the interest. Our helpful office staff will file all insurance claims for our patients. If you have any questions about payment or our Financial Policies, please call our office at (402) 493-4040.

 

New Patient Forms

Patient Registration and Medical History

Acknowledgment of Receipt of Notice of Privacy Practices