Patient Forms
Save time at your visit to our office by downloading and filling out the following forms ahead of time!
 
Insurance and Billing
We accept most traditional insurance plans including CoverKids and TENNCare, contact our office to verify acceptance of your plan. We accept checks, cash or credit cards. We are happy to file insurance for your reimbursement as long as you are free to choose your own dentist. 
 
Financial Assistance
Prosper Healthcare Lending’s mission is to make dental care affordable.  Our innovative dental financing platform allows those with limited funds to have options when it comes to receiving dental treatment. The loans provided are a healthy option with no pre-payment penalties or retroactive interest.  Not only is this a great opportunity for patients, but providers benefit from the platform as well.  Other patient financing companies typically charge the provider 5-15% to fund each loan, while PHL charges no fees per funded loan.  This service will help individuals nationwide afford the dental treatment they need.
 
CareCredit is here to help you pay for treatments and procedures your insurance doesn’t cover. We offer No Interest* financing or low minimum monthly payment options so you can get what you want, when you want it. 
 
For more information or to apply online, visit carecredit.com
 
With three simple steps, including an instant approval process, it’s easy to apply for CareCredit.
CareCredit is endorsed by some of the most credible organizations specific to each healthcare profession we support. For over 20 years, they've been helping over five million cardholders get the healthcare treatments they want and need.
 
Now you don’t have to worry about saving up for the procedures you want and need. With CareCredit, the decision’s in your hands to get what you want, when you want it.
 
 
 

Appointment request

Need an appointment with a dentist in Pleasant View ? Requesting an appointment at our Pleasant View, TN family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with today!
Patient Name*
Phone Number*
Email Address
Are you a current patient?
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Preferred Appt Date
Preferred Appt Time
Message
Describe the nature of your appointment or any other comments