No need to look for dentists outside Shawnee, KS. Dr. Richard Dervin is one of the most highly accredited dentists in the nation.

Patient Forms for our Shawnee, KS Dentist's Office

Dentists Shawnee, KS Patient Information

Patient Forms

We have provided a way for you to complete your new patient forms prior to arriving for your Shawnee, KS dentist's office. Simply print the forms, complete them and bring them to your appointment with our dentist in Shawnee, KS for presentation at our front desk.

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Insurance & Financial Arrangements

As a courtesy to our patients, we submit insurance claims on your behalf.

In addition to submitting insurance claims, our Shawnee, KS dental team  is dedicated to making your services as easy and affordable as possible. We feel that it is very important for everyone we see to be educated and informed about the procedure that they are interested in.

Financial planning for what can be a substantial purchase is important and we would like you to be well-informed about the cost and payment options for your Shawnee, KS dental visit. That is why our Treatment Coordinator, Stephanie, has come up with some helpful information to assist in deciding which form of payment will work best for you and your individual needs. 

If you have any questions about your options, insurance, or financing, we are here to help.

  • Payment Options: Cash, Check, VISA, Master Card, Discover Card, and Debit
  • Individualized Treatment Plans: personalized treatment planning to phase your treatment to your needs.
  • Financing Options: CareCredit

As a third party financing company, CareCredit specializes in financing medical procedures, such as dental work. each follow their own specific guidelines. Above is the link to this company, where you can read more about specific guidelines and fill out their applications on-line.

Contact Dervin Dental
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Richard M. Dervin, DDS | 22002 W 66th St Shawnee KS 66226 | Phone: 913-422-0875 | Fax: 913-422-0883
Providing services in cosmetic dentistry to the area of Shawnee, Kansas City, Olathe, and De Soto, Kansas (KS), Kansas City, Missouri (MO) © 2013, Shawnee Dentist Richard M. Dervin, DDS, all rights reserved Privacy Policy Sitemap
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