Patient Information

We offer a free second opinion which includes one xray and office visit.
Patient Forms

We are delighted that you have chosen the offices of Doctors Birdwell and Guffey for your dental care. Since your time is valuable to us, we are happy to make our new patient forms available online. Simply print the forms, fill them out, and bring them with you to your first visit. Include a list of your current medications and, if you have dental insurance be sure to bring your card.

In addition, please let us know if your physician requires that you pre-medicate with antibiotics before a dental cleaning. (Antibiotic premedication is required for persons with certain specific heart conditions and prosthetic major joints such as knees and hips.)

Please arrive with your completed forms fifteen minutes before your scheduled appointment time to allow us time to process your information.

We look forward to meeting you!

New Patient Forms

Financial Information

We don’t want anything to stand in the way of your oral health, including financing.

We are proud to accept a variety of payment methods including cash, checks, and credit cards, as well as third-party financing through carecredit.com. Care Credit is a low-interest or no-interest credit card for your family’s health, wellness, and personal care.

As a courtesy to our patients, we will gladly file your insurance. We are Delta Dental Premier and Cigna DPPO providers. We can file claims to most insurance companies with the exception of Tenncare and Medicare. For most insurance plans, we can offer you an estimate of your insurance benefit for a particular procedure or for an entire treatment plan. We can also file a pretreatment estimate for a more accurate estimate of your insurance coverage.

As dental insurance is a contract between the patient and their insurance company, the patient will be responsible for co-pays, deductibles, and any portion that the insurance does not cover. Dental insurance should be considered an aid to payment of dental treatment rather than comprehensive coverage. We are happy to assist in helping you achieve your maximum benefit.

Infection Control

We take infection control and cross contamination very seriously in our office. To protect our patients and ourselves, we continually train to stay compliant with our governing body, the Occupational Safety and Health Administration (OSHA).

Additional Information

As a team of highly trained, skilled professionals, we are committed to providing comprehensive, personalized care to keep you looking good and functioning well. We invest ourselves in continuing education in order to learn and implement the best treatments for your optimal dental health.

Educational Links
ASIRD
ADA
MouthHealthy