New Patients

Our New Patient Forms are available to print at home and bring with you to the office or submit to us electronically. If you need assistance please contact our office.

New Patient Forms

Patient Information: English Spanish

Dental History: English Spanish

Medical History: English Spanish

Insurance and Payment Information

Blanco Circle Dental Care does accept and file insurance to ensure our patients receive the maximum possible reimbursement. We accept cash, checks, and all major credit cards, as well as financing through CareCredit and dozens of other creative ways to make dental care affordable.

Important Information We Want You To Know About Insurance

We want you to realize that we do not work directly for any insurance company. Rather, we work 100% for our patients and their well being. We feel that insurance can be a great benefit and want you to know that we will do everything in our power to ensure you get every benefit allotted to you in your insurance contract. However, the treatment we recommend and the fees we charge will always be based o your individual needs, not your insurance coverage.