130 Garth Road, Scarsdale, NY 10583   Pay My Bill » CARE CREDIT » Make Appointment

FORM AND INSTRUCTION FOR PATIENTS:


PATIENT: ORAL SURGERY INSTRUCTIONS

Oral Surgery Post Operative Instructions - Advanced Dental Scarsdale

Instrucciones Para Despues de una Extraccion Dental (DEBE/NO DEBE)

Oral Surgery DO'S and DONT'S - Advanced Dental Scarsdale

Oral Surgery: Care After Bone Grafting

Oral Surgery: Care After Dental Implant


PEDO

Welcome package Pediatric Dentist

Papoose Consent

Pediatric post op instruction AAPD: extractions

Tx form pediatric dentist

Informed Consent Form nitrous oxide sedation

ORTHO

Welcome Advanced Dental Orthodontic

Ortho consultation TX form

Ortho start/bonding TX form

Instructions for Orthodontic opatients (Life with Braces) - Scarsdale Advanced Dental

Preventing problems with your braces - Scarsdale Advanced Dental

Ortho adjustment/repair TX form

Informed Consent Orthodontics Patient - Advanced Dental

Release of Liability Early Removal of Orthodontic Appliances

Informed Consent Braces Removal and Retainer Consent Form

Warning letter due to non-compliance (ortho)

Ortho dental clearance (continue TX)

Transfer Patient in-Active Treatment ortho

Healthplex Orthodontic HLD Form

Denta Quest Orthodontic HLD Form

Payment arrangement 12 months comprehensive orthodontic treatment

Payment arrangement 24 months comprehensive orthodontic treatment

Payment arrangement orthodontic treatment government


Payment consent Delta Dental/32BJ ortho 2018

Payment consent GHI/1199/Emblem 2019

Payment consent Insurance-Private 2019

Informed Consent Braces Removal and Retainer Consent Form

Release of Liability Early Removal of Orthodontic Appliances


ORAL SURGERY FORMS

Welcome Oral Surgery Scarsdale

Advanced Dental Surgery "Tx" Form

Scarsdale Advanced Dental Financial Disclosure

Informed Consent Form for Oral and Maxillofacial Surgery and Anesthesia

Implant Consent Form

General Anesthesia Record

Discharge Sheet

Mediacal clearance form

3019 Brighton 1st str: Mediacal clearance form

3019 Brighton 1st str: Oral Surgeon Financial Disclosure

3019 Brighton 1st str: Tooth extraction informed consent

OTHER FORMS

Financial Policy Advanced Dental 2018

Advanced Dental "M" Form

Advanced Dental "I" Form

Notice of privacy practices Advanced Dental

Dentist/Doctor Exuse Letter

Disclosure sheet for cosmetic or uncovered treatment

Advanced dental worksheet

HIPAA form for release health information

Email verification form

NPT letter


FOR OFFICE USE ONLY: INFORMED CONSENT FORMS

Informed Consent Form Filling

Informed Consent Form crown and bridge prosthetics

Disclosure sheet for cosmetic or uncovered treatment


FEE SCHEDULE


Aetna dental PPO plans fee schedule

Denta Quest Emblem | Child medicaid | Child health plus (CHP) |Essential plans | Medicare advantage |Exchange QHP

Denta Quest healthfirst hfic

Denta Quest Fidelis Exchange | Affinity Exchange | Healthfirst Exchange

DC37 fee schedule for ortho, pedo, endo 2018

Liberty dental plan New York Medicaid CHIP

UFT dental fee schedule