Patient Resources


We understand that along with quality dentistry, our patients expect excellent service and timely care. We have provided our Patient Forms, Policies, and Payment Information here to help expedite your check in process.

Patient Forms

We encourage you to print the Patient Forms and complete them at home, prior to your appointment with Dr Barth. Please bring the forms with you on your appointment day.


Please click on the Form you would like to access. When the file opens, select Print from the File menu in your browser to print the form. Please print and sign the Patient Form, Financial Agreement, and HIPPA Policy.

If you prefer to prepare your paperwork in our office please arrive about 15 minutes early so that we can keep your visit on time.

Insurance Plans Accepted

We currently accept plans from Assurant,
United Concordia, Cigna, and Aetna.

If you do not see your insurance carrier here,
please contact us for more information.


Payment Options

Cash, Check, Visa, Mastercard,
Discover, American Express

Patient FormPatientResources_files/PatientFormNEW.pdf
Financial PolicyPatientResources_files/FinancialPolicy2.pdf
Child/Young Adult FormPatientResources_files/ChildYoungAdultPatientFormNEW.pdf
HIPPA PolicyPatientResources_files/HIPAA_Policy.pdf