Forms & Finances

New Patient Forms and Payment Methods

To expedite the check-in process, please print these forms and bring them to your appointment. If you have questions, call us at (404) 351-1035.

• Forms Coming Soon!

Payment Methods
We accept cash, check, and credit card (Master Card, Visa, Discover, and American Express). Dr. Resuta doesn’t allow insurance companies to dictate the services we offer. The procedures you receive will be based on your medical history, oral status, and personal preferences. For your convenience, we will gladly file a claim for your reimbursement. We also provide affordable financing options through CareCredit and CapitalOne Healthcare Finance.

CareCredit offers:

• No down payment
• No interest for up to 18 months for qualified applicants
• No prepayment penalties
• Low interest loans
• Long-term loans
• Revolving credit for other medical, dental, and vision procedures
• Easy online payment option
• Easy online application process

CareCredit has helped more than six million patients afford the procedures they want or need. With 20 years in the patient finance industry, CareCredit has established a stellar reputation. Visit them online to calculate your monthly payment and apply for financing that will improve your health, your smile, your life!

If you have questions regarding financial information or dental insurance, don’t hesitate to call. We’re happy to help.