The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Fairport Family Dental and our caring staff. We encourage questions and do our best to always deliver quality care.

Prior to your scheduled appointment please click on "New Patient Forms" below to fill out and submit your Medical/Dental history form along with the HIPAA (Patient privacy) form.   As of November 1, 2009 we are now required by the FTC (Federal Trade Commission) to see a valid photo ID on all new patients to help prevent identity theft.  This is known as the "Red Flag" rule.   Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

Our office is committed to helping you maximize your insurance benefits.  Because insurance policies vary, we can only estimate your coverage in good faith but cannot guarantee coverage due to the complexities of insurance contracts.  Your estimated patient portion must be paid at the time of service.  As a service to our patients, we will bill insurance companies for services and allow them 45 days to render payment.  After 60 days, you are responsible for the entire balance, paid-in-full. If you have any questions, our courteous staff is always available to answer them.

Complete Forms Online

Financial Policy

Privacy Policy

Patient Login

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