Forms & Financing

Dedicated To Convenient, Cost-Effective Care

At Acacia Dental Care, we always want to respect each patient’s schedules, finances, and personal preferences. We’re dedicated to providing truly personalized care for our friends and neighbors in Shorewood, Whitefish Bay, and Milwaukee. Find new patient forms, insurance information, and payment option, and give us a call at (414) 212-8291 if you have any questions.

Download And Fill Out Your Forms

We make it easy for you to access new patient paperwork with downloadable forms. Just download your forms, fill them out, and send them back to our office (or bring them in during your first appointment) for a more streamlined process.

General consent formHIPAA RELEASEHEALTH HISTORY FORMS

Accepted Insurances At Our Office

If you have dental insurance, we can work with you to maximize your coverage and make sure you save on the care you need. Currently, we accept policies from the following dental insurance companies:

  • Delta Dental
  • MetLife

Financing With CareCredit

Dental care can be tough to fit into your budget, but waiting for the treatment you need will only lead to more pain, complications, and more expensive treatments down the road. That’s why we’ve partnered with CareCredit to offer payment plans for most procedures at our Shorewood dental office. With CareCredit, you can split up the cost of treatment into equal monthly installments with a reasonable interest rate.

Learn More

No Insurance? Become A Member & Save!

If you don’t have dental insurance but you want to save money on essential preventive care, our in-house dental membership is a great choice. For a low yearly fee, you can get care like teeth cleanings, oral exams, and x-rays, as well as a 20% discount on all other necessary treatments. Find out more, and see if our membership is right for you.

Learn More

$120 New Patient Special

If you’re ready to get started at Acacia Dental Care, we make it easy. Schedule today, and you’ll pay just $120 for our new patient special. There are no hidden fees or additional costs to worry about. Your new patient appointment includes:

  • Teeth cleaning
  • Oral exam
  • X-rays

*New patients only. Not valid with insurance. Not valid in cases of periodontal disease.

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