HIPAA Form
Acknowledges how we protect and handle your private health information.
Your first visit establishes the foundation for our relationship with you. Here's what to expect, plus everything you need to know about insurance and financing.

From the moment we speak with you on the phone, our goal is a warm, caring atmosphere. During your first visit we'll gather important background information, give you time to get to know your doctor, and treat you like one of our own family. There's no rush, we want you comfortable and informed.
To make your first appointment smooth, we'll have a few forms ready for you to complete. Bringing them filled out saves time in the waiting room.
Acknowledges how we protect and handle your private health information.
Tells us about your past care, concerns and any current symptoms.
Outlines how billing, payment and insurance filing work at our office.
Lets us record your plan details so we can file your claim for you.
Have a question before you arrive? Call us at (770) 424-6569 and we'll be glad to help.
Marietta Dental Associates is out of network with all plans. We are not part of any insurance network, but that doesn't mean your benefits won't apply.
If you have out-of-network benefits, we'll file any insurance you present, and most plans still pay well, often the same as in-network. We care for thousands of out-of-network patients. To confirm your coverage, simply call the number on the back of your insurance card.

New patients are always welcome at Marietta Dental Associates.
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