Patient Forms

Welcome!
We are pleased to welcome you to our practice. Please take a few minutes to fill out this form as completely as you can. If you have questions, we will be glad to help you. We look forward to working with you in maintaining your dental health.

Financial Options

Dr. Iqbal Sayed and our dental team are dedicated to providing you and your family with the dental care you need to reach healthy, radiant smiles. To make sure that our dental services are easy to afford, we offer several payment options. We accept most dental insurances, including:

  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • Delta Dental
  • Guardian
  • MetLife
  • United Concordia

Contact Patchogue Dental Service PC for more information about dental insurance. We also accept the following forms of payment:

  • Cash
  • Check
  • Credit card
  • CareCredit

CareCredit is a third-party financing company that makes affording your family’s dental care easy. We invite you to contact our dental office today to learn more about our financial options and to schedule an appointment with our dentist in Patchogue, New York.

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