Pediatric Dentist - Office Policies

How are Appointments Scheduled? 
Do I Stay with My Child During the Visit?
What About Finances?
Our Office Policy Regarding Dental Insurance

Pediatric Dentist - Tyler, Longview and Jacksonville, TX - Culberson R. Boren, D.D.S.For your convenience prior to visiting our office, please click on the following links to print the necessary patient forms, complete the information and bring them with you to your first visit:

New Patients
Health History

Spanish
Health History

Dietary Guidelines
Click here

To print the form you will need Adobe Acrobat Reader.  If you do not have Adobe Acrobat, please click here to download it for free to your computer.

 

 

 

Pediatric Dentist - Tyler, Longview and Jacksonville, TX - Culberson R. Boren, D.D.S.

How are Appointments Scheduled?

The office attempts to schedule appointments at your convenience and when time is available. Preschool children should be seen in the morning because they are fresher and we can work more slowly with them for their comfort. School children with a lot of work to be done should be seen in the morning for the same reason. Dental appointments are an excused absence. Missing school can be kept to a minimum when regular dental care is continued.

Since appointed times are reserved exclusively for each patient we ask that you please notify our office 24 hours in advance of your scheduled appointment time if you are unable to keep your appointment. Another patient, who needs our care, could be scheduled if we have sufficient time to notify them. We realize that unexpected things can happen, but we ask for your assistance in this regard.


Do I Stay with My Child During the Visit?

Parents are welcome to accompany their child to the clinic area during hygiene visits, but we ask that you wait in the waiting area during treatment visits. This allows us to build trust with your child and protect the privacy of our other treatment patients. Studies and experience have shown that most children react more positively when permitted to experience the dental visit on their own and in an environment designed for children. Our goal is to help your child have the most positive experience possible and enjoy coming back.

An adult parent or legal guardian must accompany all minor patients (under 18 years of age) and must remain inside the building at all times throughout your child's dental appointment. If an authorized adult other than the parent or legal guardian is present at your child's appointment, it is important that we have documents signed by the parent or legal guardian prior to your child's appointment.  

What About Finances?

Payment for professional services is due at the time dental treatment is provided. Every effort will be made to provide a treatment plan which fits your timetable and budget, and gives your child the best possible care. We accept cash, personal checks, Care Credit, CHIP, Medicaid, MCNA, DentaQuest, debit cards and most major credit cards.
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Our Office Policy Regarding Dental Insurance

If you have dental insurance, you are responsible for bringing all of the information needed to file a dental claim with you to your appointment. We must be able to verify insurance eligibility and benefits in order to accept your dental insurance. If we are able to verify your eligibility and benefits, you must:

  • Pay the estimated difference between what your insurance covers and the actual charges incurred on the day of service.
  • After insurance pays, you are responsible to pay for any balance in full upon notification by our office.
  • If payment is not received from your insurance company within 45 days, you will be expected to pay in full all dental services rendered.

We attempt to provide the most accurate information available; however, insurance companies will not release their fee schedules, so we cannot be held responsible for any discrepancies in benefits estimated. Information given to you by our office regarding your benefits is a courtesy. Your insurance is a contract between you and your insurance company. We are not a party to that contract and will not become involved in disputes between you and your insurance company regarding deductibles, co-payments, covered charges, secondary insurance, usual and customary limits, benefits, etc. We file insurance claims only as a courtesy to our patients and their families.