Forms & Financing

A Seamless Visit Starts Here

Our Patient Resources

At Rochelle Dental, it’s our goal to bring you a smooth, stress-free experience. From financing options that fit your budget to downloadable new patient forms, we’ve got you covered with the thoughtful, modern dental care you deserve. Check out our patient resources below to get started! We look forward to seeing you.

Keeping Care Convenient

New Patient Forms

We know that life gets busy, and your time matters to our team. We’re here to help you streamline your visit, skip the wait, and start reaching your dream smile with our easy new patient forms! When you schedule your appointment online, you'll be able to fill our your new patient forms at the same time. These forms allow us to get to know you and provide the highest levels of accommodating, tailored care from the moment you step into our office.

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Rochelle Park Dentist
Rochelle Park Dentist

Insurance Options

We Accept Delta Dental & More

Our passion for patient-centered care touches every aspect of our practice. We want to see you and your family thrive with high-quality, accessible dentistry and lifelong smiles. That’s why we’re glad to accept the following insurances:

  • Aetna
  • Ameritas
  • Anthem
  • Aon
  • Blue Shield of CA
  • Careington Care PPO
  • Careington Platinum
  • Cigna DPPO Advantage
  • Cigna DPPO
  • Cypress
  • Delta Dental
  • Dentegra
  • GEHA Connection Dental
  • Guardian
  • Humana
  • MetLife
  • Principal PPO
  • UHC/DBP
  • Zelis

If you have any questions about our insurance options, don’t hesitate to give us a call at (551) 228-1104! Our insurance experts are always happy to help you understand your benefits and make sure you’re getting the most out of your coverage.

Members Save More

Check Out Our Membership Plan

We strive to empower our patients with best-in-class dentistry that doesn’t break the bank. If you don’t have dental insurance, or you’re limited by the care you can receive based on your plan, we’ve got your back with our in-house membership. With a variety of membership options, year-round preventive care, and amazing discounts on all other services, you can maintain a healthy, beautiful smile with peace of mind all year long.

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Membership Plan Rochelle Park
Rochelle Park Dentists

First Time with Us?

Save with Our $99 Emergency Special

There’s nothing we love more than meeting new faces! If you’re in pain, we’d love to give you a warm welcome with our $99 emergency special. This exclusive offer features a detailed exam, digital x-rays, and a treatment plan from our friendly professionals, so you can keep your smile beaming with brilliant oral health.

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Ready for a Reason to Smile?

Book Your Visit Today

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