INDIAN RIVER: (757) 424-1976

Patient Forms

Complete these forms at your convenience to save time at your appointment.

In order to make your experience with Tidewater Dental Group even more convenient, download the following forms and fill them out before you come in for your visit with us.

Patient Registration Form
Consent Form

Insurance

We accept coverage from most major insurance companies. Whether you’re a new patient, or you’ve changed insurance providers, call us to find out if your dental expenses will be covered.

  • United Concordia (UCCI)
  • Met Life
  • Met Life (Tricare Active Duty)
  • Anthem BC/BS
  • Cigna PPO
  • Delta Dental-Premier
  • Guardian PPO
  • Aetna PPO
  • Medicaid – under the age of 21 years old
  • Dentemax
  • Dominion PPO
  • Humana PPO
  • Delta California Retired Military

We also accept CareCredit healthcare credit cards. Ask us how to apply.

We look forward to giving you the best dental experience you’ve ever had. Call Tidewater Dental Group today at 757-424-1976.