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 Please click on each of the forms below to complete. Please complete the New Patient form prior to your appointment.New Patient Form (Adult)
New Patient Form (Child) Root Canal Consent Form Surgery Extraction Consent Form Implants Consent Form Sedation Consent Form Patient Finance Form Disclosure Authorization Form Schedule Your Appointment today!If you are interested in learning more about our services, please call (509) 590-1763, and schedule your appointment today! |
During your visit to NorthView, any or all of the following amenities are available to ensure your time with us is as comfortable as possible.
If you are interested in learning more about our services, please call (509) 590-1763, and schedule your appointment today! |
 PricingAll services vary in price and are based specifically on the needs of the individual patient. Because of this we can’t accurately quote a price for treatment without first having one of our doctors see you for an exam. We do our best to make sure that our patients get the best treatment possible while staying competitive with pricing. Annual BenefitsWhat if you were given free money to spend on improving your smile, but there was one string attached: use it by the end of the year or lose it? For those fortunate enough to have insurance, that's exactly how you should view your benefits. Typically, dental insurance policies have a set dollar limit for the amount of treatment provided throughout the year. Insurance benefits not used by the end of your benefit year are not carried over into the new benefit period. You've paid for your insurance benefits, so make sure to use them before you lose them. If you think you might have expiring benefits we'd be happy to help you take advantage of them. Financial OptionsWe Do Our Best to Make it Easy for You to Get the Beautiful Smile You Deserve! We accept cash, personal checks, and most major credit cards. Our office accepts nearly all major insurance plans. Even though dental insurance is a private arrangement between you and your company, we will file your claim, handle all the paperwork, and help you get maximum insurance benefits. Ask us about our easy financing options with interest-free, flexible monthly payment plans you can apply for right in our office. InsuranceWe accept most insurance plans and are pleased to assist our patients by processing insurance claims on your behalf. Please give us a call for a complimentary benefits check or for more about your specific coverage. We are not currently in network with any Washington State assistance insurance. We do, however, partner with the DENT program and they can help connect you to dental care providers that accept state health insurance. To contact them call (509) 590-1763, or visit their website at: DENT. Cash and FinancingAll payments for services rendered are due at time of service. As a courtesy, we offer the following options:
Co-Pays are due at time of service. Unfortunately, we are unable to accept any forms of Washington State assistance insurance. DOCPAY We are happy to offer DOCPAY interest free payment plans to our patients.
DOCPAY payment plans provide an affordable, easy way to pay for healthcare services. Payments are automatically deducted from your checking account each month. Your only cost is a small transaction-processing fee for each payment. No credit approval is required and DOCPAY can be used at any participating office. Ask for DOCPAY and get off the credit merry-go-round. (Learn more at www.docpay.com/patient). |
 We are committed to your oral health and part of establishing a successful oral health care plan is making sure you love coming to see us!This is why we’ve committed to ensuring all of our patients have PDE (a Positive Dental Experience). We’re so enthusiastic about you having PDE that we’ve made it our guarantee to you. PDE or it's FREE*So how do we do this? With our proven process! (3)W+H+LOVE=PDEWe'll go through a checklist, of sorts, that helps you understand your current and next appointment, so you know exactly what to expect. If you ever have any questions along the way, feel free to stop us and ask us to explain further. Here's what the proven process looks like: WHY: You need treatment
WHAT: we will do at your next appointment WHEN: You're next appointment will be (for a cleaning or restorative needs) HOW: You will cover your investment, whether you're utilizing insurance or not, we want to make sure you understand what treatment will cost. LOVE: We genuinely care about our patients well-being. Everything else we do before, throughout and after your appointment is what fully rounds out the overall experience. PDE: All of this equals a Positive Dental Experience We know this may seem like a lot, but this is our commitment to you and when it comes to you and your health, no measure is too far! We want you to have and spread PDE to all, so if we sound like a dental family you want to be a part of, or if you’re already a part of the family but know someone else that could use some PDE, give us a call (or encourage your friends and family to) and schedule an appointment today at (509) 590-1763. *If a PDE card is not fully filled out and signed and there is confusion about the appointment time, treatment, or payment amount the appointment is on us. How the PDE or it's FREE guarantee will be applied and to what appointment it will be applied is at the discretion of the doctor and will be determined on a case-by-case basis. |
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| LOCATION
Northview Family Dental 5901 N Lidgerwood St, Suite 225 Spokane, WA 99208 Call us today at (509) 590-1763! |
