Patient Resources

At Kirby-Cochran Center for Dental Health, we consider it an honor to serve you and your dental health needs. In an effort to make taking care of your dental health as easy as possible, we accept a variety of dental insurance provider plans and several forms of payment.

Accepted Insurance Providers

If you don’t see your provider among the list of accepted insurance providers, please feel free to call us. We would like to see how we can help you.

Accepted Forms of Payment

If you need assistance setting up Care Credit, please feel free to ask. We will gladly assist you in any way that we can.

In order to make your visit as smooth and easy as possible, we have provided copies of all our patient information forms for your review. Please print and fill out any forms related to you and your visit and bring them to the office at your designated appointment time. If you have any questions or concerns, please feel free to contact us.

Patient Information Forms

Adult Registration
Form

Child Registration
Form

Health Information
Update

Receipt of Notice of Privacy Practices

Notice of Privacy
Practices

Responsible Party Information Form