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New Patients

New Patient Forms

We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.

Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our Rogersville dental office and we will gladly send or fax them to you.

New Patient Forms

Dental Insurance

At Rogersville Family Dentistry, we are happy to process and file dental insurance claims for most providers. To help patients maximize their coverage, we are in-network providers for BlueCross BlueShield and Delta. As long as patients’ benefit plans don’t dictate specific providers, we’ll be happy to file their claims. If you’re not sure about your coverage, one of our knowledgeable team members would be happy to help. Bring your policy documents with you, and we’ll be happy to review your coverage.

Financial Information

We accept cash, personal checks, MasterCard, Visa, American Express, and Discover as forms of payment for your treatment. We also work with CareCredit patient financing to offer you payment plans that fit your budget. Apply online at CareCredit.

110 South Hasson Street, Rogersville, TN 37857 USA
Dr. Timothy D. Gunnin Rogersville TN dentist (423) 272-5353 (423) 272-0047 smiledesigns@me.com