Forms & Financing

New Patient Forms

Get a jumpstart on check-in before your child’s first visit by filling out these new patient forms ahead of time.

Ready to get started? Forms Coming Soon

Accepted Insurances

We provide affordable care and will be participating with most major PPO plans.

We also partner with selected PPO plans and provide Fee-For-Service (FFS) dental care. To learn more about the insurance plans we accept, please contact our office.

Membership Plan

For comprehensive annual care, consider our membership plan. You pay a low annual premium and receive:

  • Feature #1 of membership plan
  • Feature #2
  • Feature #3

Referring a Patient?

Please fill out our Referral Form and send it to info@smilearkct.com.

download Referral Form

Questions?

The Smile Ark team has answers.

What info will I need for my child’s new patient forms?

To submit your new patient forms, we’ll just need a little info from you. To start, you’ll answer a few simple questions about your child’s medical and dental history. If you plan on using insurance, you’ll also need your plan details such as your member number and other information that can be found on your insurance card. Your child’s new patient forms also offer a chance to tell us about any other considerations or healthcare needs you think we should know about.

Schedule today!