New Patient Forms
Save time,
take care of the paperwork now.
Our New Patient Forms are now available for download so that you can complete your form at your convenience. This gives you the time you need to carefully review our policies and procedures outside of the office and makes your first visit easy. Click on the link below to download the form, print it out and bring it to your first appointment.
Time is Important
Our office is easy to find!
But to help make finding our office easier, please see the Google map for our exact location.
We know that your time is important, and we work to make sure that your visit happens as professionally and quickly as possible.
Payment Options
We are committed to high quality, affordable dental care.
Payment options include cash, checks, Visa, MasterCard, Discover, American Express and CareCredit.
Payment is required at the time services are performed. Other financial arrangements are available when extensive dental care is necessary, or when the dentistry performed exceeds your budget or insurance benefits. We will be sensitive to your financial circumstances within the framework of sound business practices.
We understand that unexpected dental bills can strain finances. If this happens to you, don't hesitate to call us at (801) 492.0055. If you keep the line of communication open with us, we will be able work out an acceptable arrangement.
For questions about payment and financing, please contact our office. We are happy to help!
Alcorn Family Wellness Plan
A great way to keep your family smiling
Never let the cost of dental care be an obstacle to your oral health. In an effort to make dental care more affordable, we've created our Alcorn Family Wellness Plan. For a low annual fee, patients with limited or no dental insurance can join and receive general dental care, along with additional free services and discounts.
- • Affordable
- • No Waiting Periods
- • No Claim Forms
- • No Age Limitations
Annual Plan Pricing
- Call to learn more about our Annual Plan Pricing
Annual Plan Benefits
Adult Benefits Include:
- • 2 Periodic Exams
- • All Necessary Hygiene X-rays
- • 2 Routine Cleanings
- • Oral Cancer Screening
- • Cosmetic Consultation
- • 1 Urgent Care Exam
- • 20% OFF Additional Services
- • 15% OFF Cosmetic Treatments
Child Benefits Include:
- • 2 Periodic Exams
- • All Necessary Hygiene X-rays
- • 2 Routine Cleanings
- • 2 Fluoride Treatments
- • Oral Hygiene Instruction
- • 1 Urgent Care Exam
- • 20% OFF Additional Services
- • 40% OFF Sealants
*This program is a discount savings plan and not a dental insurance plan. It cannot be used along with any other dental plan, workers' comp claims, referrals to specialists, or in conjunction with other discounts or promotions. Plan must be paid in full at time of sign up and is nonrefundable. Other restrictions may apply. Call for details. Prices subject to change.