DR. KYLENE FERNANDEZ OFFICE-PATIENT FORMS

Please click on any Patient Form below to open the form and enable the form to be printed. ​

OFFICE POLICY

PATIENT INFO

HIPPA

FINANCIAL POLICY
For your convenience, we accept Visa, Mastercard and Discover. We also offer Care Credit to those who are in need of financial assistance. You can apply online at carecredit.com. As a courtesy, we are happy to submit to your dental insurance carrier so long as we are provided with complete and accurate insurance information. We deliver the finest care at a reasonable cost to our patients. If you have questions regarding your account, please contact us.