Policies & Forms


(478) 986-1830

Click on forms below to view & print.

Click Forms Below to Print with Adobe Acrobat Reader

New Patients:

Print, fill out, and sign the forms above and bring completed forms with you to our office.

Please remember appointment times are reserved especially for you, so if you are unable to keep your appointment, please call the office at least 24 hours in advance so that we may offer that time slot to another patient.

If you are in discomfort and call us during regular office hours, we will make every attempt to see you that same day.

- Hours -

Monday through Thursday

8:00 AM - 5:00 PM

Lunch from noon to 1:00 pm

(478) 986-1830

Financial Policies


For your convenience, we accept Visa and MasterCard

  1. If you pay in full (with cash or check) at the time services are rendered, we can give you a discount of 5%
  2. We offer CareCredit, a convenient option to ordinary credit cards, cash and checks.


Our practice accepts most dental insurance and we participate in many plans, including most plans from Blue Cross/Blue Shield, Met Life, Ameritas, United Concordia, Delta Dental, Principal, Cigna and United Health Care. 

Our goal is to help you maximize your insurance benefits.  We will provide any information requested by the insurance company and provide any other help you may need.   Please understand, however, that we have no control over if, or how much, any insurance plan will pay and what they will cover.  Depending on your plan, you may be responsible for any balance remaining after insurance has paid.

If you are not sure about the details of your plan, call and we can help answer any questions you may have.


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Copyright Dr. Kenneth Kay, DMD