Patient Information

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New Patient Paperwork

Parker White DDS Family Dentistry offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.

Financial Policy

We understand the importance of flexible financial options and accept all PPO insurance providers. We also offer an in-office membership plan so individuals without insurance can receive the care they need for their oral health.

Our payment options include:

  • Apple Pay
  • Cash
  • Check
  • Credit/Debit

Insurance Information

Dental insurance is diverse. Some policies cover only a small percentage of fees, while others cover 50 percent or greater. The more you or your employer pays for premiums, the better the coverage, in most cases. Dental insurance can be confusing, but we'll make it easy for you. Simply bring your card or claim into our office. We'll be happy to tell you what your insurance will cover and file your claim for you.

Parker White DDS Family Dentistry
563 Brunswick Rd STE 3
Grass Valley CA 95945
(530) 272-9071


OFFICE HOURS

Monday
8:00am - 5:00pm

Tuesday
8:00am - 5:00pm

Wednesday
8:00am - 5:00pm

Thursday
8:00am - 5:00pm

Friday
Closed

Saturday & Sunday
Closed