New Patient Forms

To make your first appointment as easy as possible, please print, complete the following forms and bring them with you to your first visit:

New Patient Registration Form

Dental Medical History Form

Insurance & Billing

We accept most traditional insurance plans, contact our office to verify acceptance of your plan. Jeffrey Zanetti, D.D.S. does not participate in Health Management Organizations; however, we will be happy to file your insurance claims for you. We accept checks, cash or credit cards. We also offer a flexible payment plan. Please see our Financial Coordinator for details. We are happy to file insurance for your reimbursement as long as you are free to choose your own dentist.

Payment Options

We accept checks, cash or credit cards. We also offer a flexible payment plan. Please see our Financial Coordinator for details. We are happy to file insurance for your reimbursement as long as you are free to choose your own dentist.

Financing Options

For almost 30 years, CareCredit has been providing a valuable financing option for treatments and procedures that typically are not covered by insurance, or for times when insurance doesn’t cover the full amount. CareCredit is also used by cardholders to pay for deductibles and co-payments.

CareCredit, from Synchrony Financial, is one of the largest and most popular health, wellness and beauty credit cards in the nation, serving millions of families each year.

Now you don’t have to worry about saving up for the procedures you want and need. With CareCredit, the decision’s in your hands to get what you want, when you want it.

CareCredit.com