Request Forms Like Us Review Us
Early & Late AppointmentsAccepting New PatientsSafety and Smiles First
Daniel Berquist, DDSJoseph Ornelas, DDS

New Patient Information

Have you recently scheduled your first appointment at Region Dental? Our team is looking forward to meeting you! We’re dedicated to providing quality, personalized care in a comfortable fashion for children, teenagers, adults, and seniors alike. Please take a look at the following important information below before your first appointment, and please don’t hesitate to contact us with any questions or concerns you may have. We’re here to help.

New Patient Forms

Now, patients don’t have to spend a lot of time in our waiting room filling out forms at their first visit. Instead, you can download them and fill them out at home for your convenience! Just print them, write in the pertinent information on your own schedule, and remember to bring them with you for our front desk team. You and your loved ones will be able to start your appointments that much faster.

Download Our Forms

Have Dental Insurance? We’ve Got You Covered!

Paying for quality dental care shouldn’t have to be a frustrating or difficult experience. Instead, let our team here in La Porte simplify the process for you as much as possible. Our practice is an in-network provider for Delta Dental, and we’d be happy to personally file the necessary paperwork for any other plans to ensure that your available benefits are as maximized as possible.

Affordable Financing Available

If you don’t have insurance or you’re interested in elective procedures that aren’t covered in the scope of your plan, don’t despair just yet. Our practice welcomes financing through CareCredit! Instead of having to pay a burdensome amount of money all at once, patients can instead make easy, affordable payments once a month, all with little interest or even NO interest required. Follow the link below to apply:

Apply for CareCredit