Downloadable forms you’ll need to complete/read/sign before your first visit.
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- Notice of Privacy Practices
- Consent for Use and Disclosure of Health Information
- Welcome Form (For Children Under 14 Years of Age)
- Welcome Form (For Children Over 14 Years of Age and Adults)
Dr. Rositano cares about your oral health and his team is dedicated to exploring affordable treatment options to easily fit your financial lifestyle. We strongly believe that financial considerations should not be an obstacle to receiving the treatment you desire. For your convenience, our office offers multiple payment options including:
- Personal Check
- Credit Card (Visa, Mastercard, Discover)
Dr. Rositano accepts most of the major insurance plans(PPO Plans) and will gladly file your insurance claim for you. We will always work with you to maximize your benefits, but remember, dental insurance is a contract between the patient and the insurance company, not the dentist. The patient is always financially responsible for all dental care. It is always best for you to contact your dental insurer and check if Dr. Rositano is a provider for your specific plan.
It’s important to understand what is covered under your dental plan. Learn key dental insurance terms and find out where you can get more information about dental plans here
We have a well trained staff, who will be happy to help you with any billing questions. A simple phone call will clarify any problems which may arise. Please contact us at (440) 960-1059.