New Patient Forms

No one likes to wait! At D'Amore Russo Dental Design Studio DrDDS, you can save time at your first appointment by completing the new patient forms in advance. Download and print the form below, then fill it out as completely as you can and bring it to the office during your appointment with any questions you may have.

Healthy LifeStyle Program

 

If you have no dental insurance or have one with little benefits then this may be your solution! Introducing the Healthy Lifestyle Program - a cost effective alternative to address ALL your family’s dental needs.

HISTORY OF OUR PLAN

For years we’ve dealt with numerous dental plans and we’ve seen firsthand the lack of benefit for procedures that you need for optimal dental health.

We developed the DR DDS of Montclair Healthy Lifestyle Program – a patient friendly alternative to expensive and restrictive dental plans and a solution for our patients who lack dental benefits. You benefit by receiving top-notch dental care at a reduced fee, with no maximum, no deductible or waiting periods and no exclusion for preexisting conditions.

The DR DDS of Montclair Healthy Lifestyle Program saves you money by including your preventive care visits (3, 4 or 6 months

as prescribed) and reducing those instances of emergency care and extensive, expensive dental treatment.

PAYMENTS

Payment for the annual membership must be paid in full at the time of enrollment. 

We reserve the right to terminate this policy without notice if the member’s account becomes delinquent at any time.

 

RENEWAL

Membership will be automatically renewed annually unless we receive a written notice of cancellation 30 days in advance.

EXCLUSIONS

Cannot be combined with any other insurance or discounts or 3rd party financing (Care Credit, Citihealth, etc.).

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 Enroll in the DR DDS of Montclair Healthy Lifestyle Program