We are always accepting new patients. Many forms you may need for our records are below.

Patient InformationNew Patient Information

A visit to the dentist's office isn't just about checking for cavities anymore – there have been incredible advancements in the field of dentistry, and we have responded by expanding our range of custom dental care services to suit your needs.

We are always at the forefront of the latest research in dentistry and use the most up-to-date methods and technology to help our patients' achieve their desired smiles. In our office, we specialize in and frequently perform a variety of general dental procedures, so you can rest assured that yours will be performed by a skilled and experienced dental professional. With an arsenal of state-of-the-art equipment and an expert multidisciplinary staff dedicated to your dental health, we are in a unique position to offer best-in-class dental care.

Our commitment is to providing the highest quality of dental care for our patients, and we want to do the same for you. For more information or to schedule an appointment, please contact us today.

 

DENTAL INSURANCES

We gladly accept all dental insurances and will bill your insurance company for you. Below you will find a list of the insurance companies that we are contracted with:

Aetna D PPO

Aetna Dental Access

Assurant PPO

Asuris Northwest Health

Regence Blue Shield of Idaho

United Concordia

Delta Dental PPO

Washington Dental Service

Download Forms
Select from the forms below. Please print the completed form and bring into our office at your next visit.

(*) Indicates forms for initial visit

* New Patient Registration

* Health Questionnaire

* Smile Analysis

* Records Release Agreement

* HIPPA Agreement
(HIPPA Statement of Privacy Practices)

* Financial Agreement

Office Evaluation

Apply for financing
Please choose the option you wish to apply for below.

Dental Treatment :: Apply for Financing

Dr. Funk's financial team cater to our patient's needs and offer various finance programs. We accept many different dental insurance plans and offer outside financing through Care Credit, Citi Health Card, or Chase Health Advantage. Some of the plans are 12 months, interest free. Please ask for further details.

Care Credit

citi'

Chase Health Advance Financing Options:

Flexible payment plans 6-24 months interest free. Apply online or in the office.

Chase