Patient Forms Online
Coming in for your first visit? Save some time by filling out your paperwork in advance. All you have to do is run through a quick survey so we can get to know you, your dental history, and insurance information. Save time and paper with this quick and easy tool!
Adult Online Forms (18+):
Child Online Forms (under 18):
In response to the COVID-19 national emergency, we’re taking additional special measures to ensure the health and safety of our patients and staff.
COVID-19 Dental Treatment Consent Form:
Special Finance Options
$149 New Patient Special
At North Hills Family Dental, we do everything we can to give every patient a healthy smile, no matter their financial situation. That’s why we offer access to financing options and a $149 New Patient Special, which includes a full dental exam, teeth cleaning, dental X-rays, and a custom treatment plan. Contact us today to book your first visit.
Whitening for Life
$149 Teeth Whitening Program
North Hills Family Dental offers whitening products to vastly improve the brightness of your smile! Join our Whitening for Life program for just $149*. It includes custom, upper and lower whitening trays and free gel as long as you remain an active patient with North Hills Family Dental. The free gel is provided at each 6-month re-care appointment. Contact us now to get started!
*Must be free of dental decay, periodontal disease, and other conditions which preclude cosmetic treatment.
Dr. Mauro and the team at North Hills Family Dental want to make your dental treatment as financially convenient as possible for you. To help you financially, we accept all major credit cards, checks, and cash. Hills Family Dental also participates in a wide range of insurance policies such as United Concordia, Metlife, UPMC, Delta, Guardian, Aetna, Humana, Dentemax, and Cigna. But, generally, we’ll file with any insurer. We also encourage our patients to fill out their insurance information online, so there are no surprises when you come in for your appointment.
Additonally, we offer payment options through BHG Mastercard More.
Whether it’s your first time, or you know us all by name, we work hard to ensure everyone who comes to North Hill Family Dentistry is cared for quickly, thoroughly, and with compassion. Drop us a line and we'll get back to you as soon as possible.