Patient Forms, Map and Directions to our Office
We look forward to meeting you in person! To understand what to expect at your first visit, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. You can also save some time by printing out and completing the patient forms in advance of your appointment or, click the link below to complete them online via a HIPAA compliant secure portal.
Please know we are available to answer any concerns or questions you may have prior to your first appointment. 734-485-2200
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
- PATIENT REGISTRATION FORM
- FINANCIAL POLICY & CREDIT CARD AUTHORIZATION FORM
- PATIENT ACKNOWLEDGEMENT AND CONSENT FORM
We know you have many choices when choosing a Dentist in Ypsilanti, MI so we have made requesting an appointment a simple process via our Web site. If, for any reason you cannot keep a scheduled appointment, or will be delayed, please call us as soon as possible.
Insurance and Billing
We are an Insurance Friendly Office and accept most traditional insurance plans, contact our office to verify acceptance of your plan. David Schmidt, DDS does not participate in Health Management Organizations; however, we will be happy to file your insurance claims for you. We accept checks, cash or credit cards. Please see our Financial Coordinator for details.
We accept checks, cash or credit cards. We also offer CareCredit, LendingPoint, and Alphaeon Credit as a flexible payment plans. Please see our Financial Coordinator for details.
With three simple steps, including an instant approval process, it's easy to apply for CareCredit, Alphaeon Credit, and LendingPoint. After you're approved, you're free to use these financial options for the services you choose.
For more information visit CareCredit.com, Alphaeon.com, and LendingPoint.com.