PATIENT FORMS | FINANCING
You can download our interactive forms in pdf format, fill them out in your computer, save them and e-mail them to us, or you can print them out and bring them in at the time of your first appointment.

For Financing Information for your dental services, please click here.

Please click on the links below to download the forms:

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Most computers come with this program already installed, but if you don't have
it you can get it for free on the Adobe site.
Click here to go to the Adobe site and download the program.
Financing for Dental Services at
Bettendorf Dental, P.C.

Our patients use the CareCredit financial services.

Please click here to learn more about the Care Credit Service.

Please click here to fill out a secure application at the Care Credit website.