We strive to make your visit to T.F. Chen DDS as pleasant and efficient as possible. To save some time at our office, we have provided our patient forms here online. Simply print and fill out these forms before your appointment, then bring them with you for your visit with Dr. Chen and Dr. Chen, our experienced dentists in Glendale, California. You will be asked to read and sign the HIPAA form in our office. If you have any questions or need help with filling out your patient forms, please do not hesitate to contact a member of our caring dental team. We are eager to assist you!
- New Patient Form
- Financial Policy Form
- Truth in Lending Form
- Truth in Lending Form (Spanish)
Truth In Lending
At T.F. Chen DDS, we strive to make high-quality dental care available to your family regardless of your financial situation. We accept several convenient payment forms, including:
- Checks (personal, cashier’s, and traveler’s)
- Credit cards (American Express, Discover, MasterCard, and Visa)
CareCredit, a third-party financing company, offers no- and low-interest payment plans. We also offer some in-office discounts. We invite you to call us today for additional information on our financial options.
In addition, we accept dental insurance at our office. We accept all indemnity plans and some PPO, EPO, and DPO dental insurance plans, including the following such as:
- Aetna PPO
- Blue Cross
- Blue Shield
- Delta Dental DPO
- Guardian PPO
- Health Net
- MetLife PPO, EPO
- Principal Mutual Life PPO
- TriCare PPO
- United Condordia PPO
We also accept other insurance plans that are not on this list; call us to discover whether we accept your dental insurance plan. We do not accept DMO, HMO, or PMI dental insurance plans. For more information on dental insurance and your benefits, please feel free to contact our Glendale, California dental office today. Our friendly dental team will be happy to verify your coverage ahead of your appointment to save you time!