New Patient Forms

Dentist in Hanover, PA

New Patient Forms

We are always accepting new patients of all ages. We understand the significance of choosing an advanced dental practice that you can trust for your and your family’s dental care.

At your first dental visit, you will notice a welcoming and friendly environment. You will have the opportunity to meet the Elevate Dental Wellness & Health team. We are committed to educating you about your dental needs and will answer any questions you may have concerning your oral health. We will provide you with the highest level of dental care available today. Thank you for your confidence in our dental office, we look forward to meeting you!

New Patient Forms

In order to provide you with the most efficient new patient experience, please complete our online patient form:

New Patient Forms [PDF]

This will allow the new patient process to run quicker and smoother for both our dental practice and you. Also, kindly bring your dental insurance card, as well as an updated medication list, if applicable.

Financing Options

We accept checks, cash, money orders, and major credit cards (Discover, MasterCard, Visa, and American Express). We also offer flexible payment plans with CareCredit and Citi Health Card.

CareCredit can help you pay for treatments and procedures your insurance doesn’t cover. We offer no-interest financing and low minimum monthly payment options. CareCredit can be used for your family members as well.

With three simple steps, including an instant approval process, applying for CareCredit is easy and fast. 

Use your Lending Club account at participating providers to get flexible payment plans for the health care treatments your family needs. Participating providers may offer a variety of payment plans for many procedures that aren’t fully covered by insurance.


We can help to maximize your benefits. It is recommended that you contact our office prior to your appointment to provide us with insurance information for verification of benefits. We currently participate in a variety of dental insurance programs.

Schedule an Appointment