Patient Portal

Patient Forms

New Patients –

Please complete and print the Health History and Payment Arrangement forms available at the link to the right. Bring the completed forms to your first appointment. Don’t forget to arrive 15 minutes prior to your scheduled appointment time.

Existing Patients –

If your contact, health history and/or insurance information has changed, please complete and print the forms, and bring them to your next scheduled appointment.

Payment & Financing

Cash, Credit, or Check
We accept most major cards, including VISA®, MasterCard®, Discover®, and American Express®.
CareCredit
The CareCredit credit card is an alternative to consumer credit cards, cash, or checks. With a CareCredit card you can make convenient monthly payments instead of a lump sum prior to treatment. CareCredit helps makes it easier for cardholders to pay for the care they need.
DentalWorks Advantage
With DentalWorks Advantage, you can save 25%-50% on dental care today.
US Bank logo
We offer a convenient online bill pay portal, powered by US Bank®.

We accept most major insurance.

Customer Testimonials

From checkup and cleanings, to transforming your smile, our dental family is here for yours. But don’t take our word for it. See what our patients are saying about us.

5.0
Five Stars is the highest rating that I could give Clement Park Dental Group. If I could, I would give them a higher rating. The doctor and her staff were awesome!!! I highly recommend this dental group.M.E.
5.0
Due to severe tooth pain, I was seen the next day. As a new patient, this was extremely appreciated. The staff was welcoming and professional, and I was able to get the help I needed very quickly. I feel like I finally found a good dental group!T.M.
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