Office Policies & Payment


Office Policies

Patient Forms


You can download and print patient forms ahead of time and bring them when you come into the office.

If your device is able, it will allow you to fill these forms out electronically. Once the forms are filled out, you can save them and email them to smile@springhillsmiles.com. This will allow us to have the information on hand at the time of your first scheduled appointment.

Orthodontic New Patient Forms
General Dentistry New Patient Forms

Payment Options


At Spring Hill Smiles, we are committed to helping you find a financial arrangement that will work for you and your family. We will review your financial information and provide you with insurance estimates. We encourage questions from both the patient and the parent, and as such, we provide ample time to answer your questions.

We offer payment and financial plan options through our PatientReach portal, and CareCredit. Click on the links below to pay or learn more.

Pay Online Through PatientReach
CareCredit

Insurance & Orthodontics


Dental Insurance is different from medical insurance. Many patients aren’t familiar with the specifics of their dental insurance benefits. Your dental and orthodontic benefits are based on the agreement your employer negotiated with your insurance carrier. Please review the insurance benefit booklet provided by your employer to better understand the benefits they make available as part of your insurance coverage. Spring Hill Smiles is not a provider of Tenn Care, Medicare, or Medicaid.

If you have insurance that covers any portion of your orthodontic treatment, our office staff is always available to help you with insurance claims and paperwork. Please make sure to bring your insurance card to your first orthodontic appointment.

An estimate of the amount covered by your insurance company will be provided at the time of your treatment, based on the information they provide to us. The estimate is never a guarantee of benefits or the amount that will be paid. We will file all insurance claims as a courtesy to our patients. This does not however, transfer the responsibility of your financial obligation to the insurance company. If the amount paid by the insurance company is less than or greater than the estimate, then you will be billed the difference or issued a credit on the account in the event of an overpayment.


Medical Savings Accounts


Some companies offer Medical Savings Accounts for their employees. These accounts are also available to individuals for themselves and their dependents. The plans allow for pre-tax deposits to be made to the individual’s account. The money in the account can then be used for necessary medical expenses. This means that in some cases, orthodontics can be paid for with your health savings account funds.


Cancellation Policy


Kindly provide at least 48 hours notice for any appointment that needs to be rescheduled. Appointments cancelled in less than 24 hours may be subject to a cancellation charge.

Please ask us about financing options, and let us know if you have questions about our financial policies prior to your treatment.