patient resources

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New Patient Forms

If it’s your first time with us, you can fill out your new patient paperwork online ahead of time.  Just click above, or scan the QR code below.  When you arrive, just bring your photo ID and insurance card if you’ll be using it.  
We look forward to meeting you!

new patient forms
click here
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Fee-For-Service Dentistry

Hlavaty Dental Arts is a Fee-For-Service practice, which means we can offer you the care you need at a fair price, without being restricted by the insurance companies. As a courtesy to our patients with insurance, we will gladly submit your claims (with all required information, forms, & x-rays) as an out-of-network provider & your insurance company will send your reimbursement checks directly to you at home.

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Healthcare Lenders

Ask our office about other ways to pay that may be available to you, including healthcare lenders or other third-party financing options.

Dental Arts Membership

all exams & consultations
all x-rays & imaging
2 cleanings/year

Plus: discounts on all dental treatments

For those who don't have dental insurance,  the best way to get your yearly exams, x-rays, & cleanings covered and save significant money on dental services is through our Hlavaty Dental Arts Membership Plan. Members receive free twice-yearly preventive exams with cleanings and x-rays, as well as discounts on
ALL additional dental services (with NO yearly maximum).

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Ready for a different kind of dental experience?

Try Our $149 New Patient Special

Some dental offices treat you like “one of many” and tend to focus on profits over people. At Hlavaty Dental Arts, our inviting environment and focus on the patient experience set us apart from the rest. If you’re interested in experiencing the Hlavaty Dental Arts difference for yourself, take advantage of our $149 New Patient Special. It includes a cleaning, exam, and set of x-rays—all while getting a sense of how our office operates and what makes us so unique.

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First time?
Try our New Patient Special

Learn more