Patient Info

Forms

Please take a moment to either fill out online or print and complete the forms below and mail, email, or bring them with you to your dental appointment. If a form below does not open in the new browser tab, try reloading the page in the new tab.

Online Forms

Dental Insurance, Financing, & Payment Options

We accept most dental insurance plans including:

Delta Dental
Blue Cross/Blue Shield Humana Premier Dental 
United Concordia United Health Care
CignaMetlife
Aetna Aflac

We also offer a variety of payment and financing options and accept cash, check, Visa, Mastercard, Discover, American Express, and Care Credit.  Click on the icons below to apply for financing.

American Express Discover Visa Mastercard Care Credit
wellness-plan

At Nicollet Station Dental, we even provide our own in-house Dental Health & Wellness Plan for patients who do not have dental insurance.