At Renaissance Dental Center we make every effort to provide you with the finest care and the most convenient financial options.  To accomplish this we work hand-in-hand with you to maximize your insurance reimbursement for covered procedures.

We file to all insurance companies to assist our patients with reimbursement.  We help many of our patients submit their insurance. Our insurance expert will be happy to contact your insurance company to let you know what they will cover.

If you have any questions or concerns, please ask our team.  They can be reached by phone at 919-786-6766 or via email at

Forms Available for Download

pdf-iconDownload New Patient Registration Form


pdf-iconDownload New Patient Medical History Form


pdf-iconDownload Record Release Form


pdf-iconDownload Authorization to Release Information Form


pdf-iconDownload Financial Policy Brief


pdf-iconNotice of Privacy Practices (HIPAA)


Contact our office if you have any questions or have trouble downloading the forms. Call 919-786-6766 or email us