Welcome One, Welcome All
Our Mercer Island Dentist would love to have you join the family.
What to Expect on Your First Visit
Your first visit to our office will be a great one; we can feel it already. Dr. Dawn Bova looks forward to creating a fun, caring, and professional atmosphere for you and your entire family. To make things a little bit easier for you, we have provided our patient registration forms below, and have outlined our payment policy as well. We know these might be a tad boring to read, but please take a few moments to review them so there are no surprises.
New Patient Forms & Payment Policy Information
We are able to provide premium quality dental care at competitive rates by asking our patients to pay for their treatment at the time it is performed. If you have insurance, our staff will bill your insurance provider directly. We will also review your insurance plan and estimate the portion of your payment that may not be covered by your insurer. That balance is due and payable at the time of treatment.
Please note that our estimate is not a guarantee: if the actual amount paid by your insurer is higher than our estimate, we will immediately refund the difference to you. However, any balance not paid by insurance within 60 days for any reason is the responsibility of the patient.
We offer two affordable payment options, which are described below. With both payment options, a deposit of half of the estimated patient portion is required at the start of treatment. To facilitate payment, we accept cash, checks, Visa, and MasterCard.
Option 1: Prepayment: A 5% discount will be applied to balances of $1000 or more that are paid in cash prior to treatment.
Option 2: 50% of the estimated portion is due at the time of treatment. Another 25% is due in 30 days and the remaining balance (25%) is due in 60 days.
- Mercer Island Dental Patient
- Sonja, Mercer Island Dental Patient
- Marian, Mercer Island Dental Patient
- Naomi, Mercer Island Dental Patient