It would be a privilege to welcome you into our special family of patients!
PHONE 860-649-4435 Flexible-Hours--Monday thru' Saturday on-site parking and on the bus-line Please be patient with the answering-service-- Leave two telephone numbers and best times to reach you. Thank you!
COVID-19 Times Pre-Appointment Compliance Steps 'Pre-Appointment Update Form'
Within 24 hours of your visit the office will call you for a pre-appointment screening & any update of scheduled time.
The 'Pre-Appointment Update Form' below must beSUBMITTEDBEFOREthe pre-appointment call.
The benefit information in the form below must be completed for benefit submission. The Benefit-Card must also be presented at the office.
Preparing an appointment setup now is more labor intensive and requires allotting more time for you. Therefore, let the office know morethan72HOURS before the appointment if you think you will need to change it---NOTON the day of the pre-appointment screening call and NOTATthe pre-appointment screening call!
If you are not feeling well it is expected that you reschedule your appointment. If you have a cough, fever or flu-like symptoms you will not be allowed in the office and you will be rescheduled.
Please arrive on time and alone in the office for your appointment. We ask that anyone with you remain outside.
Please limit personal items to a minimum or leave them in the car.
Patients are to clean & brush their teeth priorto their arrival.
We ask that you use the bathroom as little as possible, and there will be no tooth-brushing allowed in the bathroom!
We ask that you bring your mask to the office--and wear it throughout the office exceptwhenin the treatment chair!
ALL changes have been made to protect ALLinvolved--to keep ALL patients, the office & doctor as safe as possible!
It is expected that everyone will responsibly comply and follow these protocols.
Non-compliant and dis-respectful behavior will not be tolerated, risking discontinuation of the visit.
**** Office assistance or calls regarding incorrectly submitted benefit information or for any compliance, are subject to non-covered ADA Code D9992: Dental Case Management-Care Coordination. Therefore---be responsible for submitting proper & accurate information in the first place! CALL your BENEFIT AGENCY to CHECK your INFORMATION BEFORESUBMITTING!!
READ FIRST CALLYOUR DENTAL AGENCY BEFORE filling out the Dental Benefit Section below. DONOT 'ASS-U-ME' OR GUESS any information from your Dental Benefit-Card! Checkthe requested information BEFORE SUBMITTING THE FORM!
Office calls or assistance for correcting or procuring information will be entered as a non-covered charge ADA Code D9992: Dental Case Management-Care Coordination. Please submit the PROPER & ACCURATE information the first time!
Correct information is required for benefit-submission IN ADDITION to presenting the Dental Benefit-Card(s) at your dental visit.
Update Form
* Fields with an asterisk are required (or submittal won't go thru')!
**** Office assistance or calls regarding incorrectly submitted benefit information or for any compliance, are subject to non-covered ADA Code D9992: Dental Case Management-Care Coordination. Therefore---be responsible for submitting proper & accurate information in the first place! CALL your BENEFIT AGENCY to CHECK your INFORMATION BEFORESUBMITTING!!