Andrei Roschkowsky, DDS - Patient Info

Make Your First Visit Easy!

Save 20 minutes at your first visit by bringing in your completed forms to your 1st appointment!

We have made our new patient forms available on this website for your convenience!  You can print out and complete our new patient forms at home before visiting our office.   Bringing your completed forms in with you will save time and help expedite your check in process and your first visit.

If you have any problems with the forms, simply call our office and we will gladly send or fax them to you.   We look forward to meeting you and helping you with your dental needs!

The forms here are Adobe Acrobat files. If you don't have Adobe already, you'll need the free Acrobat Reader to view and print them.  Free download below.

Forms Coming Soon... 

  This website uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.


Preventative, Restorative, and Cosmetic Dental treatment is an excellent investment in an individual's health and well being.  Our practice believes that  finances should not be an obstacle to obtaining the healthy smile you deserve.  We realize that every patient has different needs, that is why we provide several payment options.

 

CASH OR CHECK

Our practice accepts personal and certified checks


CREDIT CARDS

     We accept  major credit cards

 

INSURANCE COVERAGE 

All services rendered are the patients responsibility.  As a courtesy to our valued patients, our team will be happy to assist in filing your dental claim on your behalf. Please feel free to contact our office to if you have questions regarding financial options.  We're here to help you achieve the healthy smile you deserve!

As a service to our patients, we are pleased to offer the CareCredit card, the nation's leading patient payment program. With CareCredit you can finance 100% of your dental care and there are no upfront costs, no annual fees, and no pre-payment penalties. So, you can begin your treatment today and conveniently pay with low, monthly payments.

 

PAYMENT PLAN

CareCredit offers a full range of payment plans so you can find one that works best for you. With the popular No Interest Payment Plans* there are no interest charges if you pay your balance in full within the specified time period. Monthly payments can be as low as 3% of your balance. For procedure fees from $1,000 and up, CareCredit offers 24, 36, 48, & 60 month plan options with low monthly payments available.

CareCredit can be used by the whole family for ongoing treatment without having to reapply. And by using CareCredit for your dental care, you can save your other credit cards for household or unplanned expenses. It only takes a few minutes to apply for CareCredit and you'll receive an online decision in seconds! Apply now or see our staff for more details.

If you prefer, you may also apply over the phone by calling 1-877-559-5050.

To Apply:

Simply click on the button below.