Forms & Policies

Please Keep Your Appointments
When you make an appointment for your child, we are setting aside a specific amount of Dr. Thom’s time just for you so that your child will have Dr. Thom’s complete attention. We do not double book assuming that a certain percentage of patients will not keep their appointments. If you do not keep your appointment, then Dr. Thom will have nothing to do but twiddle his thumbs and bother the staff until the next patient arrives. More importantly, you may be taking away valuable appointment time that could have been used for another patient. Therefore, we ask that you please keep your appointments. If you cannot make your appointment without giving 48 hours notice, there will be a fee added to your next appointment. If two broken or missed appointments without proper notice occur, the office reserves the right not to schedule any future appointments.

Please Arrive On Time
We try very hard to stay on schedule so that we will be respectful of your time. We do not double book our schedule – we set aside time specifically for you. We therefore ask that you please be prompt for you appointments. Arriving 15 minutes or later after your appointment time will result in needing to reschedule your appointment. Patients who regularly break appointments will be asked to seek care at another practice that may be better able to accommodate you.

Having Said All That
We know that being a parent is a very difficult job, and we will make whatever efforts we can to help with your schedule. We will also try very hard to stay on schedule ourselves and to see your child at the appointed time. Occasionally there may be situations where we may get behind schedule due to an emergency visit. Please understand that being on schedule is important to us, and that if we are running behind, it is because we are giving a child special attention that we would also offer your child if needed.

We work with all insurance companies. We will take care of all the paperwork and file claims for you. To learn more about your insurance plan and our practice, please call to speak to one of our friendly and knowledgeable front desk team members.

However, the treatment recommended for your child will be based on what is best for your child’s dental health – not on what insurance may or may not cover. Please check with your insurance company for verification of your dental benefits as most plans cover only a portion of the fee incurred. Payment of the estimated balance will be due the day of the appointment when service is rendered. You will be responsible for the full balance that the insurance company does not pay. When we receive payment from the insurance company, we will compare what they paid to what we estimated and adjust your balance accordingly. You may still have a small balance, or you may get a small credit. Please see our Financial Policy for additional information.

To save time at your first visit, you will receive a link to our Patient Portal prior to your child’s appointment to create a password-protected account.

Creating a Password
To create a password, you’ll be asked for two verification items – your zip code and a birthdate (typically of the parent making the appointment so siblings are linked under one head of household and only one login is required per family). We gather these when making your first appointment. The first link will expire in 24 hours. Forms do not need to be completed in this timeframe; only a password needs to be created. Password criteria is very specific and must be at least 8 characters long and contain at least one upper case letter, one number, and one symbol (!@#$%^&*=).

Using the Portal
After a password has been created, the portal may be accessed at any time at by entering your email address as your username and your unique password.

On the portal, parents may:
Complete patient forms
View and pay balances
View upcoming appointments

If you have any trouble logging into the portal, please call the office for troubleshooting tips. The most common errors are:
Using the child’s birthdate instead of the parent’s
A mis-keyed parent birthdate or zip code
Not following the password criteria