Office FAX: (949) 502-8743 Office E-mail: contact@harderdental.com PATIENT
FORMS: Select from
the navigation bar (to the left of this page) the forms or
documents you wish to read or complete before your intial
visit. We require that you complete the top three forms
listed before your first appointment. Please arrive 30
minutes early if you plan to complete the forms at our office.
PATIENTS WITH DENTAL
INSURANCE: If you wish for us to bill your
insurance company and have your benefits payable directly to our
office, you must provide us your dental
insurance information (card) to verify your eligibility
and benefit provisions before your first scheduled
appointment. Otherwise, you will be responsible to
make full payment for services rendered and we will submit the
insurance claim on your behalf to have the benefit payments
sent directly to you.
MAP & DIRECTIONS TO OUR
OFFICE: Select the "Location"
button (to the left) for a map on the Yahoo map system as well
as written directions from all areas of Orange County. |