New Patient Information
Your First Visit to Our Arlington Dental Office
$99 New Patient SpecialHave you scheduled your first appointment at South Arlington Dental Care? That’s great news! Dr. Prachi Shah and her dedicated team can’t wait to provide you with the quality care you deserve. During this initial visit, our goal will be to learn about you and your unique dental needs so Dr. Shah can make personalized recommendations for treatment. By the end, we hope to have given you plenty of new reasons to feel confident about your smile’s future.
New Patient Forms
South Arlington Dental Care provides the forms below to make your first visit more convenient. For faster service, please print and fill out all the forms beforehand and you can either email them to our office directly at southarlington.dental@yahoo.com, fax them to (817) 462-0257 or bring them with you when you come in for your appointment.
- Patient Registration Form
- Medical History Form
- General Consent Form
- HIPAA Agreement
- Financial Agreement
- Patient Privacy
- Media Release Form (Adults)
- Media Release Form (Minors)
We Take Your Dental Insurance
When it comes to paying for your dental care, our team wants to make the process as simple and convenient as possible for patients. We’re in an in-networker provider BlueCross BlueShield, Delta Dental and Dental Network of America. However, we take and file all insurances! Our team will be happy to file any and all paperwork on your behalf to ensure that you receive the maximum amount of benefits available. We also review coverage with you and help you choose and plan treatment according to your budget.
No Insurance? No Problem! Our VIP Savings Plan Has You Covered
Not having insurance doesn’t mean you have to forgo needed dental care. At South Arlington Dental Care, Dr. Shah is happy to offer a solution that fits any budget: our VIP Savings Plan. Patients simply pay a fee each year to receive several valuable benefits, including free services, significant discounts, and much more.
Annual membership with our VIP Savings Plan includes the following:
- No deductibles
- No maximums
- 2 free full-mouth and oral cancer screenings per year
- 2 free check-ups and cleanings per year
- 1 series of cavity-detecting x-rays
- 20% off all dental procedures at South Arlington Dental Care (please note: this does not apply to dental products or care received from an in-office specialist visit)
Affordable Financing with CareCredit
Even patients who have insurance can struggle with covering their dental expenses, especially when they’re hoping to improve their self-confidence with cosmetic work. Thankfully, CareCredit offers payment plans with low interest rates or even NO interest in certain circumstances. Whether you’re in need of preventive assistance or a complete smile makeover, CareCredit makes it possible at an affordable rate.
Flexible Monthly Payments with Sunbit
Sunbit offers flexible monthly payment options and never performs a hard credit check! There are no late fees and the application process takes just one minute. With Sunbit, you can smile now and worry about the payments later. If you need restorative work or just want to improve your smile with cosmetic dentistry, Sunbit has you covered.
Flexible Payment Options with Cherry Financing
Cherry Financing allows you to split your treatment costs into manageable monthly payments, making it easier than ever to achieve the smile you’ve always wanted. With quick approval, no hard credit checks, and a simple application process, Cherry Financing is designed to fit your financial needs.