NEW PATIENT FORMS:

 

You may fill out these forms and bring them to your consultation. Please call if you have any questions!

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Child New Patient Form

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Adult New Patient Form

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NEW PATIENT INFORMATION:

 

WHAT TO EXPECT ON THE FIRST VISIT

Upon your arrival at Dr. MaryBeth Marcincin’s office, please notify my front desk staff. We will happily welcome you and get you checked in.

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THE PURPOSE OF THE CONSULTATION IS TO:

• Identify any problem that may be present

• What type of treatment is indicated

• When is the proper time to begin treatment

• How long will treatment take

• How much will treatment cost

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THE DIAGNOSTIC RECORDS

If orthodontic treatment is recommended, an appointment is made for diagnostic records. These records include photographs, scanned impressions, panoramic and cephalographic radiographs.

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COST OF TREATMENT

The cost of treatment depends on a variety of factors including the severity and length of each case. If treatment is required, a discussion of fees will be addressed during your first visit. Please visit the "Finances" page under Patient Resources for a general overview of financing options. 

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I strive to make orthodontic treatment affordable for all. To do so, payment plans are offered. My billing staff will also submit to your insurance provider.

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