New Patients

Patient Registration Forms

Please download and fill-out our Medical History Form and our Patient Information Form. After you have completed the form, please make sure to bring it on your first visit to our office.

New Patient Forms
Technical Note: You need Adobe Acrobat Reader to view our form. Please download the Free Adobe Acrobat from Adobe's web site if it is not already installed on your system.

Schedule a Complimentary Consultation

Request Appointment

Insurance and Payment Options

Dr. Shah's Dentistry is more affordable than you may imagine. We accept most insurance plans. We accept all major PPO Insurances and Major HMO insurances:

Delta Dental Cigna Aetna Blue Cross Blue Shield Safeguard Secure Horizons (AARP) United Health Care Pacific Care Lincoln Financial Pacific Union Dental Health Net Dental Benefit Provider

Please call our office to make an appointment and to ask any questions you may have.

We accept Visa, Master Card, Cash and personal checks. For our patients' convenience we have arranged a payment plan through a third party that helps our patients receive their treatment in a timely manner.

💳 Visa 💳 MasterCard 💵 Cash 📝 Personal Check

Flexible Financing Options

CareCredit

We accept Care Credit plans. We're pleased to offer our patients the CareCredit® card — North America's leading patient payment program. Easy to use as a regular credit card, but designed specifically for your health needs, with no hidden costs.

  • 1 Easy to use
  • 2 Apply now or at our office and get a fast credit decision
  • 3 No need to reapply for additional treatments or purchases
  • 4 Account can be used for all family members
Apply Now
LendingClub

In addition to Care Credit, we are excited to introduce the Lending Club application for our patients. Lending Club is a trusted platform that provides flexible financing options, allowing you to prioritize your health and wellness without compromising on quality care.

  • 1 Simple Application Process
  • 2 Quick Credit Decision
  • 3 Streamlined Access
  • 4 Family-Friendly
Apply Now