Financial & Patient Forms

We welcome new patients at Bethany Family Dental, P.C.! We want to make your first visit to our office as convenient as possible. We’ve included our new patient forms here so that you can download them and fill them out at your convenience prior to your visit. Please complete both pages for each new patient.

These forms are Adobe Acrobat PDF documents. This format allows you to make high-quality printouts using your printer. To download them, you’ll need the Acrobat Reader plug-in for your web browser. It’s available for free and installs quickly. Follow the link at the right in case you need it.

Download Documents

*If your computer doesn’t already have Adobe Reader installed, you will first need to install the Adobe Reader in order to view and download the PDF file. You can then print these forms on your desktop printer.

Payment, Insurance, Billing and Financing Options

For your benefit we offer several payment and financing options at Bethany Family Dental, P.C.. As a courtesy to you, we are happy to bill your insurance for you. We accept all insurance plans and our experienced staff will gladly assist you in obtaining the maximum benefits your plan provides. Contact us at 503-617-7384 with any questions you may have about insurance or financial options.

In addition to insurance benefits, we accept the following credit cards: Visa, MasterCard, American Express and Discover card. Long-term financing with low-interest rates is also available through Care Credit financing.

Bethany Dental Plan

We offer an in office Bethany Dental Plan for those who do not have insurance. Please call us for more information.

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