Patient Forms


 

Our friendly patient care coordinator, Jill, will submit all insurance claims for you on your behalf.

Please remember that you are responsible to know your insurance benefits. On the day of your visit we will only charge you the amount that we are contracted to charge by your insurance company. These fees are set by your employer and your insurance provider. You are expected to pay any amount that your insurance does not pay in full within 60 days. A re-billing fee of 1.5% will be added to your account each month until paid. There is also a $25 cancelation fee per 30 min appointment time without 24 hours notice.

 

Welcome to our practice! ‚Äč


Please fill out all forms and submit prior to your requested appointment

 

Location
Armstrong Dental Studio
30 E. 60th St., Suite 1104
Upper East Side

New York, NY 10022
Phone: 212-537-6028
Office Hours

Get in touch

212-537-6028