Dr. Straus

 

Health History – If time permits before your first visit, please take the time to print out and complete the Health History Form.  Be sure to bring it with you when you come. If this is not possible, please arrive 15 minutes prior to your appointment to allow time to fill out a health history form. If you have dental insurance coverage, you must bring your insurance card(s).


Financial Policies

Thank you for choosing our office for your dental care needs. Midtown Dental Care is committed to successful completion of your treatment. Please understand payment of your bill is considered part of that treatment. The following is a statement of our Financial Policy. All patients are asked to complete a Health History and Registration form before seeing Dr. Straus or any of the hygienists.

It is customary to take care of fee at time service is rendered. To assist with this, we accept VISA, MASTERCARD, AMEX, and DISCOVER credit cards
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As a service to our patients, we are pleased to offer, and accept CareCredit.   CareCredit has a full range of payment plans to meet every financing need, including no interest* and low interest* options,  with low monthly payments and no costs.  It's easy to apply and you'll receive an online decision in seconds.  Apply now by clicking on the logo below.

* terms and conditions

If you have dental insurance, we will accept assignment from your insurance company; however, it must be understood that you will be responsible for any portion not paid by insurance according to our best estimate of your benefits at the time service is rendered. You will also be responsible for any co-pay for each appointment/procedure.

Patients who carry dental insurance understand that all dental services furnished are charged directly to the patient and that he or she is personally responsible for payment of all dental services. This office will help prepare the patients insurance forms or assist in making collections from insurance companies and will credit any such collections to the patients account. However, this dental office cannot render services on the assumption that our charges will be paid by an insurance company.

A service charge of 1 1/2% per month (18% per annum) on the unpaid balance will be charged on all accounts exceeding 60 days, unless previously written financial arrangements have been made.

As a condition of your treatment by this office, financial arrangements must be made in advance. The practice depends upon reimbursement from the patient for the cost incurred in their care and financial responsibility on the part of each patient must be determined before treatment.

All emergency dental services, or any dental services performed without previous financial arrangements, must be paid for in cash at the time services are performed.

Dr. Straus is a member of the following: