Your First Visit

	Please help us be prepared for your first appointment by completing this Patient Information and Medical History form. Download the form below (in either Word or PDF format) to your computer, print it out, complete the form, and bring it with you to your first appointment. > Patient Form (Word format) >   Patient Form (PDF format) >   If you're unable to read PDF files, click here to download Acrobat Reader free from Adobe

During your first visit to our office, your medical and dental histories are reviewed. The necessary radiographs (X-rays) are taken, and Dr. Crout provides a thorough clinical examination and reviews the steps and procedures necessary for your orthodontic care. It is very important to Dr. Crout that all patients, especially young children, have an adequate understanding of the treatment. We know your time is valuable, and most patients can begin treatment the same day.

Consultation

After the doctor has evaluated your records, we discuss your treatment with you in detail, including the cost for your particular case.

Regular Appointments

The appointment when you get your appliances (braces, expanders, etc.) usually takes from one to two hours. You'll then see us at regular intervals 4 to 8 weeks apart for an adjustment, which takes 20 to 40 minutes. Our regular office hours are Monday to Friday from 8:30 AM to 6 PM. Patients are seen by appointment only. We make every effort to be on time for our patients, and ask that you extend the same courtesy to us. If you cannot keep an appointment, please notify us immediately. Cancel only if it is an emergency. It is difficult to reschedule you since most appointments are made 4 to 8 weeks in advance.

Payment & Office Policies

Cost
The cost of treatment depends on the severity of the patient's problem. You will be able to discuss fees and payment options before treatment begins. We have payment plans to suit different budgets, including a no-down-payment option. We also accept assignment from most insurance plans, and file the necessary papers to the insurance company. We work hard to make orthodontics affordable.

Fees
In an effort to keep orthodontic fees down while maintaining the highest level of professional care, we have established this financial policy:

• If full payment is made at the onset of treatment, we will offer a fee discount. (If you have insurance, we will offer a discount for payment of your portion of the fee that will not be covered by insurance.)
• To fit your individual needs, financial arrangements can be made to extend your payments over a period of months.
• For your convenience, we accept payment by VISA and MASTERCARD.

Insurance

If you have insurance, we will help you to determine the coverage you have available. We ask that you assign your insurance benefit to us. The balance will be arranged for you to pay (see above). Professional care is provided to you, our patient, and not to an insurance company. Thus, the insurance company is responsible to the patient and the patient is responsible to the doctor. We will help in every way we can in filing your claim and handling insurance questions from our office on your behalf.

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