Fairfax Cosmetic Dentist Reston Cosmetic Dentist Arlington Cosmetic Dentist
Herndon Cosmetic Dentist
Fairfax Cosmetic Dentist Cosmetic Dentistry News
Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist Cosmetic Dentist for Fairfax Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist Cosmetic Dentistry Information
Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist Fairfax Cosmetic Dentist Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist Smile Makeover in Herndon Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist
Dentist for Reston Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist Vienna Cosmetic Dentist
Alexandria Cosmetic Dentist
Fairfax Cosmetic Dentist
Herndon Cosmetic Dentist
Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist
Fairfax Cosmetic Dentist

703.478.9574 • Email Us

Fairfax Cosmetic Dentist

Abraham A. Katz, DDS, PC

Herndon

For your convenience we have made our new patient forms available to you as Adobe Acrobat files. Or, if you prefer, you can call us and we can fax or mail them to you. Please remember to bring your completed forms with you for your first visit.

New Patient Forms

Financial Information and Dental Claim Forms

Notice of Privacy Practices (HIPAA)

Financial Information

We want the investment you make in our office to fit your budget and not be a strain on your checkbook. We want you to be excited about what we can do for you and not have to worry about cost. Because of this Our Healthcare Financial coordinator has set up these different payment options for you to choose from. Please feel free to speak to her about other customized options.

Here is a list of different financial options.

  • Paying for treatment in full on your first visit to receive a very nice discount
  • Pay half the treatment in cash and the other half with a credit card to get 5% off
  • Finance your treatment for 12 months interest free or longer with a low interest rate from Care-credit financing

Have dental insurance? We will file your claim for you. Once you become a valued costumer, we will allow you to pay your share of what the insurance with not pay and file with your insurance for the remaining balance.

Remember, we accept all major credit cards


703.478.9574
Fairfax Cosmetic Dentist

Fairfax Cosmetic Dentist