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Patient Forms, Insurance, Financial Information, Map and Directions to Pembroke Pines Office

Your first visit to Allen Dental Inc. establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Mission Statement
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.

To fulfill this mission, we are committed to:

• Listening to those we are privileged to serve.
• Earn the trust and respect of patients, profession and community.
• Exceed your expectations.
• Ensure a creative, challenging and compassionate professional environment.
• Strive for continuous improvement at all levels.

Insurance and Billing
Our office accepts a variety of different insurance carriers. Please call our office and our staff will help determine your dental benefits as estimated by your insurance carrier.

Accepted Insurance Carriers

Payment Options

• MasterCard, Visa, Discover, AmericanExpress, Debit Cards, Checks, and Cash
  
• Financing thru Chase Advance (Formerly Unicorn), and CareCredit

Financing Options
If you have not yet, please take a moment to look through our Smile Gallery. You will see how Dr. Allen has helped many patients like you recapture their self-esteem and life-outlook by making over their smiles.

Unfortunately, these smile makeovers exhaust the limits of most dental insurances. However, you can still have the best dental care.

We work with two third party financers: CARE CREDIT & CHASE HEALTH-ADVANCE to allow you to have the beautiful, healthy smile you want and need - and to fit it into your monthly budget.

From No Interest Financing up to 18 Months or Low Interest Financing up to 60 Months. Please click on the links for each company to learn more or print and fill out either and/or application and bring with you on your first visit.

Patient Forms
Please print and fill out these forms so we can expedite your first visit:

• Patient Registration Form
• Medical History
• Dental History
• Acknowledgement of HIPAA
• Financial Policy
• Insurance Policy
• Notice of Privacy Practices
• CareCredit Application
• ChaseHealth Adance Application

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

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