New Patients

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Welcome to Our Practice!

You’ll be pleased you’ve selected Drs. Eric and Casey Burns as your Wilmington, NC general family dentist.

We’re proud of the high standards we set for delivering quality treatment. Because our approach to client care begins with a thorough comprehensive examination, we have reserved a New patient appointment for you which will last approximately 60 minutes. During this visit, we will work with you to develop a treatment plan that specifically meets your dental goals.

Our treatment coordinators and hygienists are trained to work with you to help provide a comfortable and understanding environment to begin the treatment process. They will show you home care techniques that, if utilized correctly, will help your teeth remain healthy.

Please fill out the following forms prior to coming to our office and bring with you to your first appointment.

Please review the following information prior to your appointment – you do not need to print unless you would like a copy for your own records.

HIPAA stands for Health Insurance Portability and Accountability Act. It is a set of standards created by the U.S. Congress to streamline the flow of information in the healthcare system and protect your personal health information. As part of our compliance with HIPAA, we provide you with a notice of Privacy Practices and ask you to sign a form acknowledging your receipt of the Notice.

Records Release Form

Dental Insurance
We accept most dental insurances and are happy to submit the claims necessary to help you receive the full benefits of your coverage.

It is customary that payments, co-payments, and insurance deductibles are due as services are rendered. We accept cash, check, Visa, MasterCard, Discover, American Express and Care Credit. A 5% discount will be applied if services are paid in full when using cash or check (excludes debit card). When a significant procedure or treatment plan has been proposed, convenient financing through a health care credit plan may be of financial assistance. We’re pleased to offer our patients CareCredit , North America’s leader in patient payment plans. CareCredit lets you begin your treatment immediately – then pay for it over time with monthly payments that fit easily into your monthly budget.
The following institution can guide you through this process:

carecredit

 

 

If you elect to use Care Credit with a 6 or 12 month payment plan, Drs. Burns will cover the interest charges. Extended payment plan interest is patient responsibility.

Cancellation Policy
Thank you for giving us the opportunity to put our years of training and experience to work for you!! We truly look forward to meeting you and helping you achieve your oral healthcare needs.

Kindly notify us at least two (2) days in advance, should any unforeseen or emergency circumstances prevent you from making your scheduled appointment. If less than 48 hours notification provided, we will not have adequate time to fill your reserved time slot and your account may be charged a $25 fee based on the Drs. discretion.