Patient Resources
Charles Town, WV Dentist
We Welcome New Patients
We are always accepting new patients of all ages to Charles Town Dental Center. We aim to provide the kind of care that you want to tell your friends and family about. You will have the opportunity to meet with our team and get to know our dentist, Dr. Joanna Luciano Parker. We are committed to educating you about your dental needs and will answer any questions you may have concerning your treatment.
We ensure to provide you with the highest level of dental care available today. Thank you for your confidence in our dental office and we look forward to meeting you.
New Patient Forms
In order to provide you with the most efficient new patient experience, please download and complete the forms that apply below and bring them to your first appointment. This will allow the new patient process to run quicker and smoother for both our practice and you.
Our team will take comprehensive records and address any concerns or questions you may have. If you are having problems downloading the forms, please contact our office and we will gladly send them to you.
Online Patient Registration/Update Form
Health History
Office Policy
HIPAA
Acknowledgement of HIPAA Policies
Patient Record Release
Authorization and Consent to Send Unencrypted Patient Information by Email
Non-Discrimination Information
Insurance and Billing
We can help you maximize your benefits. We are more than happy to submit all insurance forms for you. It is recommended that you contact our office prior to your appointment to provide us with insurance information for verification of benefits. We accept most dental insurance plans and we accept check, cash and all major credit cards.
Some dental insurances we are in-network with include Premier Delta Dental, MetLife, Cigna, and Guardian.
CareCredit
We are pleased to offer our patients CareCredit as financing. CareCredit can help you pay for treatments and procedures over a period of time that your insurance doesn’t cover.
- Low minimum monthly payments
- No-interest financing available on selected plans
- No up-front costs, pre-payment penalties or annual fees
We will do our best to make financing work for you. If you have any questions, do not hesitate to contact us.
Cancellation Policy
If you are unable to keep your scheduled appointment, please kindly provide us with at least 48 hours notice by calling our office at (304) 725-0508. An additional fee may be charged if a patient does not show up for an appointment without sufficient notice.
