The following patient resources will help make it easier to get ready for your next dental visit. If you have any questions, please call 785-539-5949, and we’ll be glad to help as you prepare for your appointment!
Patient Forms
Want to save time at your dental appointment? Simply print out our patient forms, complete them at your convenience and bring them to your next appointment. If you have any questions about the forms or what you need to bring, please call us at 785-539-5949.
- Patient Registration
- Health Questionnaire
- Financial Policy Acknowledgement
- Notice of Privacy Practices
- Acknowledgement of Privacy Practices
Financial Options
Family & Implant Dentistry strives to provide affordable dental care. We participate in the following networks:
- Delta Dental Premier
- BCBS of Kansas Premier
- Met Life
- Cigna
- Aetna
- FEP Blue Advantage
As a courtesy to our patients with dental insurance we will submit your claim and provide any necessary information to assist you in receiving your benefits, regardless of the type of insurance you have. We offer a 10% discount to active duty, full-time military patients.
We accept other dental insurances; however, we may not be considered in network. Please contact us if you have any questions about your coverage.
We accept cash, check, VISA MasterCard, Discover and American Express. We have also partnered with CareCredit, a third-party company, to offer the flexibility of interest free/deferred interest financing and extended payment options. Our front desk will be happy to discuss that option and application with you.
Please give us a call at 785-539-5949 if you would like more information about your payment options or our dental care in Manhattan, Kansas.
