PRACTICE INFORMATION

Forms Download
Our registration forms and payment options are available below:

• Adult Registration Form (PDF, 1 page)

• Child Registration Form (PDF, 1 page)

• Payment Options (PDF, 1 page)

• Apply for our Interest-Free billing service

  • See Payment Options above.

  • For charges less than $500, the Practice offers 90 days
    same as cash when you are accepted by American General
    Finance and pay-in-full by the 90th day.

  • For charges more than $500, the Practice offers 12 months
    same as cash when you are accepted by American General
    Finance, and pay-in-full within 12 months.

  • To apply for American General Finance click here.

  • (Financing available to residents in the state of New York)

Adobe Acrobat Reader is a free program for PC and Mac computers that will allow you to view and print Portable Document Format (PDF) files on our website.

Office Hours
Doctor and hygiene hours by appointment

Dental Emergencies
Call 724-1389.  Emergencies occurring during normal office hours will be seen that day or as soon as possible.  Emergency calls received after normal office hours will be answered by an answering service.  The service will contact the doctor on call who will return your call.

Honoring Your Appointment
We work very hard at staying on schedule because we understand that your time is valuable.  However, there are occasions when emergencies and unforeseen occurrences cause us to be delayed in treating you.  We apologize.  We will contact you as soon as we are aware of circumstances that may prevent you from receiving services on time.  If there is a problem because of an unanticipated delay, we can reschedule your appointment or add your name to a call list for the next earliest possible appointment.

Call List
We maintain a list of patients who have specific scheduling needs or who are waiting for cancellations so that their needs can be met.

Appointment Cancellation
We request that you give the office at least 24 hours notice if you need to cancel a scheduled appointment.  Your appointment time has been specifically reserved for you.

Privacy
Federal law, effective April 14, 2003, requires this Practice to provide each of its patients with the Practice’s Notice of Privacy Policy.  Please read it carefully.  We will ask you to sign an Acknowledgement of receipt of the Notice for our records.

Dental Insurance
Dental insurance is not typically designed to pay in full for services rendered. The amount of dental insurance coverage you have is based on your specific policy.  The Harpursville office is accepting patients with Excellus Child Plus and Medicaid (age 16 and under only). At the current time, the Binghamton and Vestal offices are  accepting  Child Health Plus (Excellus) and Medicaid patients only if the patient was already a patient of the practice.  Payment from the insurance company will be paid directly to you.

Friends Of Our Practice
To view a list of our colleagues click here.