Forms and Financing Information

New Patient Forms

Our all-digital patient forms help us get to know you before you even walk through our door. They help reduce paper clutter and reduce our office’s carbon footprint. Saving paper on forms also saves our practice money, which helps keep our high quality dentistry affordable to all.

Forms Coming Soon!

Accepted Insurances

To keep our patient’s out-of-pocket costs reasonable, we partner with many dental insurers, including:

  • Aetna
  • Aflac
  • Always Care
  • Ameritas
  • Guardian
  • Blue Cross Blue Shield
  • Cigna
  • Delta Dental
  • MetLife
  • Humana
  • Principal
  • United Healthcare

Healthcare Lenders

Sometimes you have an unexpected dental emergency or need a procedure that your dental insurance doesn’t cover. For these times, we partnered with CareCredit, one of the leading healthcare financing companies.

Apply Now

Loyalty Membership Program

Eagle Mountain Dentistry is proud to offer our patients without insurance a loyalty membership program. With plans starting at just $300, our patients receive over $673 dollars worth of dentistry PLUS 20% off all other dental care needed for one whole year!

Learn more

$99 New Patient Special

We want our new patients not using insurance to start off with the best care available. Schedule an appointment today and get a cleaning, exam, X-Rays, and a free consult or second opinion for only $99.

Using insurance? You can benefit too! We are offering a complimentary teeth whitening treatment for all new patients using insurance.

*$300 value.
*New patients only. Not valid in cases of periodontal disease. Not valid for use with insurance.

Free Consultation/Second Opinions
Free Teeth Whitening for patients using insurance
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