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Welcome new families! Our office is paperless and digital and we want to make completing our forms and understanding our policies an easy and comfortable process for everyone. We invite you to do this in the comfort of your home. On the day of the visit, we will review the forms together and ask you to e-sign the documents on our signature pad.

Follow these 1-2-3 steps and it will be smooth sailing from here on!

Step 1: Complete the online registration form for each of your children. We kindly ask that you do this at least 48 hours prior to the appointment so that our team can review the information.

*COMPLETE ONLINE PATIENT REGISTRATION FORM 

Step 2: Complete the Covid prescreening form for each of your children.

*COMPLETE ONLINE COVID-19 PRESCREENING

Step 3: Please click on each of these forms to review. We are happy to answer any questions that you may have. We will ask you to e-sign each of these forms on the day of the visit.

HOURS: 7:30am to 4:30pm Monday through Friday

Smiles Club

Welcome to “Smiles Club”! You’ll be a fan
We want this relationship to lovingly span
You’ve found us because we share the vibe
Our “Dental Home”, a joyful excellence tribe

Our services are based on scientific talent
Commingled with much compassion, gallant
We treat all children like we care for our own
With empathy, kindness, consideration shown

With each dear parent, we thoughtfully create
Plans that works for their family, we formulate
Each of us knows our children’s spirits best
Greatest outcomes, from collaboration, blessed

Rest assured our processes, streamlined, tested
The most noble goal, each child’s smile attested
To achieve this, allow us to explain our vision
What may seem dismissible, not always a given

With gentle care, we shape every smile and soul
Beyond teeth, the experience, molded of gold
This is our passion, your kids feel it and know
Respecting them, honoring capacities, they glow

This is a place of health and total well-being
Some check marks along the way, are freeing
These allow to watch nature develop and form
To ease any bumps, pave the path to the norm

Prevention is our hallmark, we love it so much
We’ll talk endlessly, if your ears tolerate such
Evidence-based data joins insightful wisdom
We keep on learning the technology kingdom

Mutual enjoyment keeps this bond growing
Come and have fun with us, keep life flowing
Team Smiles believes in patience, fairness
Disclaimer: Only pure joy here, we harness

At Smiles Pediatric Dentistry, we make every attempt to schedule appointments at your convenience. Allotted Appointment times are designed to fit your child’s specific needs. Infants, toddlers and special needs children are usually scheduled in the morning when they are alert and more cooperative. Young children with extensive dental needs are also preferably seen in the morning. This allows parents more time during the day to make sure their child is comfortable after the session. Parents also have the chance to call us with any questions or concerns the same day of treatment. The California State Education Code (Article 2, Section 46010(b)3) designates medical, dental and vision appointments as excused absences. Students missing only part of the school day are to be counted as in attendance. We will be happy to provide schools with letters explaining the necessary dental treatment.

Since appointed times are reserved exclusively for each child, we ask that you please notify our office 48 hours in advance of your scheduled appointment time if you are unable to come in. Another child who needs our care could be scheduled if we have sufficient time to notify their family. We realize that unexpected things can happen, but we ask for your assistance in this regard.

We practice in an open family setting and believe that the dental appointment should be a pleasant experience for parents and children together. We invite you to be part of your child’s dental examination so that we can share our dental findings with you. We believe in demonstrating oral hygiene procedures to ensure you are able to help your child complete them comfortably at home and to motivate the entire family to focus on oral health. To better understand how we care for your child, parents are also involved in dental treatment.

Each child at Smiles Pediatric Dentistry is unique. A carefully tailored plan will be created for your child after a comprehensive examination is completed, individualized plans address specific dental needs and include prevention, hygiene instructions, diet counseling in addition to treatment of dental problems.

We are here as one Smiles team
To uplift, serve, well-being stream
Our pledge to you is to honor, to care
To comfort, respect, our Smiles share

As we help your dear children know
Importance of teeth, their smiles show
Our own families rely on us to provide
Safety, resources, homes, to guide

Salaries used to be salt, shells, seeds
Now in the form of cards, cash, deeds
We come together as humans to create
Please keep your payments up to date

Our fees reflect the quality of our service
State of the art technologies we furnish
Fineness of materials, every instrument
Each meticulous system we implement

We’re a dental home for children of all ages
Oral comprehensive needs in all stages
An intelligent meeting of minds is proof
Full in-house care under one yellow roof

We’re not a horse, a duck or a even bee
We’re that magical unicorn that you see
One of a kind, our approach is truly unique
If your vibe matches ours, us, you will seek

Our administrative team will be assisting you to clearly understand our office policies. We believe in transparency, ease and straightforward contracts.

We will be explaining what fees to expect prior to your visit. Payments are due on the day of treatment. If you wish to utilize dental insurance benefits, we will require the insurance information at least 48 hours in advance of the visit. This time frame allows our team to research your plan benefits as a courtesy and to provide you with a general estimate of coverage.

Please keep in mind that your insurance contract is between your insurance company and you or your employer. We are considered a third party and, at times, the smoothest route is for you to pay our office directly and receive a personal reimbursement check from your carrier.

Our office accepts PPO dental plans and can file an insurance claim on your behalf. We file electronic claims which your insurance company is required to pay within 30 days of receipt. The estimates are based on information gathered from your insurance company. If you have questions about your specific plan, we encourage you to personally contact your carrier. Outstanding balances not paid by the insurance company after the claim is processed are the parent’s responsibility.
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