Call Us:

(678) 417-7709

Duluth Dental Associates

Family, Cosmetic & Implant Dentistry

Care Credit Form


​If you need financial assistance, Care Credit it a great option, its easy to qualify and you can make payments that are affordable to you.  Please click the link below and then click the APPLY button to the right to access the application.  Please call us with any questions.  (678) 417-7709.

Medical History Form


To better serve you and understand your overall health, please fill out this Medical History Form and either email it to duluthdentalassociates@gmail.com or fax it to (678) 417-7071.  

Insurance Verification Form


To help us expedite your qualifications and give you accurate information please fill out this insurance verification form and either email it to duluthdentalassociates@gmail.com or fax it to (678) 417-7071.  Thank you!   

Patient Forms​