We are very proud that you have chosen Cleveland Dental Associates for your dental care. In order to better serve you we have made available the following documents for download or print via the Internet. If you are new to our practice you will need ALL forms completed for your initial visit. Having these forms filled out in advance of your appointment will save you time at your visit.
Printable Forms
To print the following forms, you will need Adobe Acrobat. If you do not have Acrobat you may download it free here:
You will need to fill out all the forms and bring to the office with you at your initial visit. Remember, having these forms filled out in advance of your appointment will save you time at your visit.
Informed Consent/Financial Policy Form
Financial Arrangements
Our office accepts the following payments:
Cash, Check, Debit cards, Visa, MasterCard, Discovery, & American Express
We also offer with prior approval:
- In house short term credit agreements for patients with established payment history with our office.
- HealthCare Credit – Credit card for health care use anywhere the card is accepted. (contact our office for more information)
- Care Credit – with credit lines to fit your budget, from no interest to longer term low interest.
- CitiHealth – no interest loans up to 18 months for qualified participants.
