Patient Downloads

New Patient Welcome

Dr. Klein’s message to new patients.

Registration and Medical History

New patients, please download and complete this form before your fist visit.

New patients please complete and bring to your first appointment.

New patients please complete and bring to your first appointment.

HIPPA Notice of Privacy

Download for your records

Payment Options

Need payment options?  Review them here.

Care Credit Application

  • Start care immediately
  • Pay over time with low monthly payments
  • For yourself and your family
  • Two types of promotional plans available

Chase Health Credit Application

Need health credit?  Chase Health Advance has options.

Request an Appointment

Whether you’re looking for a smile makeover or a place to get your teeth cleaned, we’re your local center for cosmetic dentistry and preventative dental care. Contact us today for your beautiful and healthy smile.