New Patient Information
Prior to your initial appointment at our office, please download your forms below and open them in Adobe Acrobat. Simply print them out and bring them in the office! This makes your initial visit a snap!
New Patient FormsNotice of Privacy Practices
We ask our patients to pay in full at every appointment so we may keep the cost of their dental treatment as low as possible. We Accept Visa, Master Card, American Express, and Discover.
We Take Your Insurance
If you have insurance, we will be happy to file it for you and wait for your payment from your insurance company. We will ask that you pay at the time of your visit any part that you do not expect your insurance company to pay. We will always present you with a printed estimate of any recommended treatment and insurance coverage if it applies. This allows patients to make an educated decision as to the dental treatment they choose to have done.
Insurance is a contract between the patient and the insurance company and has no obligation to the dental office. We ask that you remember this. Our staff will do our best to inform you of the details of your policy as given to us by your insurance carrier, and we have extensive experience dealing with insurance claims. Any changes or denials by your insurance carrier become your responsibility, though.
We are Blue Cross Blue Shield of Kansas, Aetna, and Delta Dental providers.
Flexible Financing Available
Are you interested in pursuing elective dental procedures that aren’t covered by your insurance? Do you and your loved ones have no current dental insurance? These factors shouldn’t prohibit you from receiving the quality care you deserve from Dr. Ringler and his dedicated doctors and staff members. Low-interest payment plans through CareCredit and Lending Club are available, allowing patients to schedule their treatment right away and fit the cost into their monthly budget without stress.
Apply for CareCredit Apply for Lending Club