David R. Stebbins, D.M.D. LLC | New Patients in Norwalk

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Cosmetic and Family Dentistry        

148 East Avenue    Suite 3J    Norwalk CT 06851    203-866-0415

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New Patients

NEW PATIENTS SHOULD BRING THE FOLLOWING FORMS AND INFORMATION TO THEIR FIRST VISIT AT OUR NORWALK, CT OFFICE

Download from this web site and complete the following:


Your current dental Insurance card and your driver's license or a photo ID.

Full payment if you do not have insurance or we are unable to verify your insurance. If insured, your applicable deductible and coinsurance payment (the amount not covered by your insurance--generally a percentage). If you are concerned about the cost of your visit, please inquire BEFORE your treatment.

PLEASE ARRIVE 10 MINUTES EARLY TO ALLOW US TIME TO PROCESS YOUR FORMS BEFORE YOU ARE SEEN.


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Please do not submit any Protected Health Information (PHI).