Administration

Contact Us:

(519)-395-5100

Payment Policies:

Payment at our office is accepted with Visa, MasterCard, debit, cash or cheque.  Patients may also email payments.
We also accept “Assignment”, which means that patients may request payments to be sent directly to our office from their insurance companies.  It should be noted that some policies do not permit assignment of insurance payments.

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Insurance Companies:

Kincardine Dentistry can electronically file claims to most insurance companies.  Some companies do still require paper filing of claims.

Missed Appointments:

Patients are requested to provide 48 hours notice for appointment changes.  Patients who routinely miss appointments or cancel less than 48 hours prior to their appointment will be charged $50.00.

Patient Forms:

Click a link below to download and print New Patient and Office Release forms.

New Patient Forms – Adults

New Patient Forms – Children

Radiograph & Information Release

CT Referral Form