Chapel Street Dentistry

Patient Information

Financial and Insurance information

We want to help you receive the dental care you deserve. We discuss all cost and payment options with you to make sure you are comfortable with your treatment plan and to answer any questions you have prior to the start treatment. You will never have surprises when it comes to your bill.

We take many forms of PPO insurances. Please bring a recent photo ID with your name and date of birth, and your Dental Insurance card.

For your convenience, we accept Visa, MasterCard, American Express, Discover, and Care Credit (no interest financing).

Patient Forms and Registration

New Patient Form

Please use the link below to fill out patient forms or print the form below to bring with you to your appointment. We look forward to seeing you!

New Patient Online Registration

Access your dental health information effortlessly. Explore our patient portal for appointments, records, and personalized dental care resources.