Patient Information

Patient Information

New Patient Paperwork

Bright Smiles 4 Kids of Bala offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.

Financial Policy

We firmly believe that financial considerations should not be an obstacle to obtaining the treatment you desire. We are sensitive to the fact that each patient has different needs and have several payment options available so that treatment is accessible to everyone. All financial discussions and arrangements are kept strictly confidential.


Insurance Information

Dental insurance is diverse. Some policies cover only a small percentage of fees, while others cover 50 percent or greater. The more you or your employer pays for premiums, the better the coverage, in most cases. Dental insurance can be confusing, but we'll make it easy for you. Simply bring your card or claim into our office. We'll be happy to tell you what your insurance will cover and file your claim for you.

Bright Smiles 4 Kids of Bala

141 Montgomery Ave 2nd Floor
Bala Cynwyd PA 19004

(610) 664-7244

OFFICE HOURS


Monday
Closed

Tuesday
9:00am - 6:00pm

Wednesday
Closed

Thursday
8:00am - 5:00pm

Friday
8:00am - 2:30pm

Saturday & Sunday
Closed