Patient Information

New Patient Forms

Please download and fill out the forms below and bring them with you to your first visit.

Patient Registration Form

Health History

General Consent Form

HIPAA Notice

Appointment Cancellation Policy

Free Acrobat Reader is needed to view the forms. You can download it here.

Insurance and Financial Information

CareCredit-ApplyDr. G firmly believes that quality dental care should be affordable and accessible to everyone. To that end, he has set reasonable treatment prices at Sauk Trail Dental Care and created easy payment options.

We accept many insurance plans. Additionally, we participate in healthcare financing through CareCredit. We also have Sauk Trail Savings Club – an in-house discount plan for patients without insurance.

Our office accepts payments through cash, checks, debit cards, and credit cards.

We’re always happy to discuss payment arrangements with you and answer any of your financial questions. Please feel free to give us a call at (708) 608-3368.