Patient Resources

Patient Forms
Accepted Insurances
Pay As You Go
What to expect

New Patient Forms

Download Forms

Our New Patient Forms streamline your visit, ensuring a smooth, efficient experience. Completing these forms in advance allows us to better prepare for your appointment and dedicate more time to caring for your child.
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Medical History
HIPPA Policy
Privacy Policy

Insurance Made Easy

At Daphne Pediatric Dentistry, we simplify your insurance process. We're happy to file claims on your behalf and accept a wide range of providers, including All Kids, BCBS of AL, Cigna, and Southland, among many others. We will also accept CareCredit.

All Kids

BCBS of AL

Cigna

Southland

We Can’t Wait to Meet Your Family

Get In Touch

If you have any questions, don’t hesitate to send a message to our team. We’ll get back to you right away.

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Request an Appointment

**Requested time is not final until you receive confirmation from our office.
Please do not submit any Protected Health Information (PHI).
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