New Patient Information

We are Excited that You Chose Us!

Our goal is to serve you through the entire process. To that end we have developed some policies and documents that we feel will help guide you and us as we care for your child.

To Better Serve You and Your Children...

Please call us at 662-323-9726 to get your child scheduled and to provide relevant information including a valid email address for you. Once you receive an email from us, please click on the special link directing you to our patient portal. From there follow the directions to complete your new patient paperwork online.

Please Bring Your Dental Insurance Card to Your First Appointment

** Please note it is your responsibility to know if your child has ACTIVE coverage through the Mississippi Medicaid and Mississippi CHIP insurance programs. **

Thank you!

Medical/ Dental Office New Patient Referral Form

If you are a staff member from a medical or dental office and you would like to refer one of your patients to us, please download and complete the form below. You'll need to save your entries and then email the completed form along with radiographs to the email address shown on the form. Thank you!

Question? Need an Appointment?

Give us a call. We're eager to help.