Hutchinson, Halstead, and Greensburg KS dentist, Dr. Robert L. Sweet Halstead Office Greensburg Office Find Dr. Sweet on Facebook
 
Patient Information
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New Patient Registration Forms:

The New Patient forms are in PDF format, which can be read using Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, get a free copy by clicking on the link below.

Adobe Reader

When you have Acrobat Reader, click on the links below to download the New Patient forms. Then print the forms, fill them out, and bring them with you on your first visit.

PDFMedical History Form (pdf file) PDFInsurance Information Form (pdf file)

Insurance and Payment:

Dental insurance is intended to cover some, but not all of the cost of your dental care. Most plans include coinsurance provisions, a deductible, and certain other expenses which must be paid by the patient at the time of services. Reimbursement amounts are not, and never have been, a guideline for quality care.

We can file most insurance claims for you. Please bring your insurance plan information with you on your first visit. We will work with you to ensure that you receive the maximum benefits to which you are entitled.

Payment is expected at time of service. If you have insurance, you will be expected to make an estimated payment for that portion not covered by your insurance plan. For that portion of costs not covered by insurance, we offer several payment options:

  • Cash or Personal Check
  • Credit Card - We accept MasterCard, Visa and Discover.
Accepts most insurances and Farm Vouchers.
Accepts KanCare for 18 and under. Accepts CareCredit.

MasterCard
Visa
Discover

Humana

United Healthcare

If you have any questions about your insurance plan or payment options, please call Our staff at (620) 663-5595 or e-mail us at HalsteadDentalClinic@gmail.com.