Thank you for choosing The Pediatric Dentists to be your child’s dental care provider! Please download and print these forms and fill them out entirely before bringing them to your child’s first scheduled dental appointment. To download, click the buttons below.
Proudly providing pediatric dental services to children of Palm Springs, Cathedral City, Rancho Mirage, La Quinta, Palm Desert, Indian Wells, Indio, Coachella, Borrego Springs, Blythe, Desert Hot Springs, Morongo Valley, Yucca Valley, Joshua Tree, Twentynine Palms, Landers, Banning, Beaumont, and Cabazon.
We accept most insurance plans and will gladly process your claim. Please bring the necessary information with you on your first visit.
For your convenience, we also accept payments made with your Visa, MasterCard, and Discover.
Financing is available through CareCredit. With CareCredit, you pay no up-front costs, no pre-payment penalties and no fees. Plus, CareCredit is a revolving credit line for additional care or add-on charges, without the need to re-apply. Use CareCredit’s Payment Calculator to compare plans and get an estimate of what your monthly payment will be.
It only takes a few minutes to apply for CareCredit and you may receive an online decision in seconds! Apply now or see our staff for more details.