Forms & Financing
We have made our new-patient forms available to you as PDF files. Please feel free to download these forms, fill them out, and bring them with you to your appointment. This will help save time and expedite the appointment process.
- Patient Registration Form
- Dental History Form
- Medical History Form
- Insurance Information Form
- HIPPA Information and Consent Form
- We accept cash, check and most charge cards including Visa, Mastercard, Discover, and American Express. Our office participates with major insurances and accepts most PPO plans. As a courtesy to our patients, we complete and submit insurance and other necessary information electronically.
- Our insurance and financing coordinators will be happy to assist you with your insurance questions and create a convenient payment plan.
- We are a partner with CareCredit and arrange necessary financing for partients.
A Word about Dental Insurance
We strongly believe our patients deserve the best possible dental services we can provide. Unfortunately, dental insurance policies can vary widely in the coverage they provide. Dental insurance is never a pay-all; it usually covers between 35 percent and 65 percent of major services, depending on your individual plan.
Whether you have dental insurance coverage or not, you are ultimately responsible for your dental treatment. We’ll be happy to assist you to find out your benefit details from your insurance, get pre-treatment benefit quotes, and help you maximize your insurance benefits. If you have any specific questions regarding your policy, you should contact your employer or insurance carrier directly. Dental insurance usually pays a maximum yearly benefit of $1,000-2,000 for your care.
Experience dentistry at its finest. Dr. Kakkar and our team deliver the contemporary solutions and superior care our patients deserve. Call our Hackettstown, NJ dental office today to make an appointment. We serve Hackettstown, Long Valley, Flanders, Blairstown, Budd Lake, Chester, Belvidere, Washington township, Washington, Randolph, Newton, Succasuna-Kenvil, Mansfield township, Sparta, Clinton Township, Phillipsburg, Easton, Stroudsburg and the surrounding communities. Our office is conveniently located where Warren, Morris and Sussex Counties meet.