Patient Resources - Factoria Family Dentistry

Patient Information

We make dental visits simple and stress-free. Explore everything you need to know before your appointment — from forms and insurance details to payment options and special offers.

Download and complete this form before your first visit to help us better understand your medical background and provide the safest, most personalized dental care possible.

Fill out this form to confirm your understanding and consent for the recommended dental treatments during your visit.

Parents or guardians — please complete this form before your child’s appointment so we can ensure a comfortable, safe, and positive dental experience.

Review our cancellation and payment policies to understand scheduling expectations and how we make care convenient and transparent for all patients.

Use this form to authorize the release or transfer of your dental records between offices or to share information with another provider.

Complete your forms online for faster processing. Click the button to fill out and submit your information securely without downloading or printing.

Dental Insurance

maximize your insurance plan

At Factoria Family Dentistry, we want you to get the most out of your dental benefits. Our friendly team is here to help you understand your coverage, file claims on your behalf, and minimize out-of-pocket costs.

We accept most major insurance plans and will gladly provide a detailed estimate before any treatment begins. Our goal is simple — to make your dental care affordable, transparent, and stress-free.

Dental Insurance

Insurances We Accept

We are prefered providers for these insurances, we accept most insurances.

VIP Discount Plan

No Dental Insurance? No Problem!

Our VIP Discount Plan is made especially for those who don't have dental insurance to help you save thousands on your treatments!

Learn More About Our VIP Discount Plan
Financial Information

Payment Options

We believe quality dental care should be accessible for everyone. That’s why Factoria Family Dentistry offers a variety of convenient payment options to fit your needs and budget.

We accept major credit cards like Visa and Mastercard, as well as CareCredit® — a trusted third-party financing option that allows you to pay for treatment over time with flexible, affordable plans.

Whether you’re scheduling a routine visit or planning a larger treatment, our team is happy to help you find the best payment solution for your smile.

Save On Your First Appointment

Current Specials

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FREE
Dental Implant Consultation
Includes:
Free Dental Exam
Honest Assessment To Determine If Dental Implants Are Right For You
Treatment Plan Designed To Meet The ADA Standard of Care
Claim This Offer
FREE
Second Opinions
Includes:
Free Dental Exam
Honest Assessment Of Your Oral Health, With No Pushy Treatments.
Treatment Plan Designed To Meet The ADA Standards of Care
Claim This Offer
$49
Cleaning, X-Ray & Exam
Includes:
Standard Cleaning (with absence of periodontal disease)
Diagnostic X-Ray To Check For Underlying Concerns
Have Dental Insurance? Receive a FREE $25 Gift Card at your first visit!**
Claim This Offer
FREE
Limited Emergency Exam
Includes:
FREE Dental Exam & X-Ray
Honest Assessment of your dental emergency
Treatment Plan Designed To Meet The ADA Standards of Care
Claim This Offer

Get in touch with us!

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