Jeffrey Gee Advanced Family Dentistry
 
Call Us Today!
 
329 South Pine Ave, (Morgan Section) Sayreville, NJ 08879
 
 
 
 
 
 
 

Patient Forms & Fees (Morgan Section) Sayreville, NJ


At Jeffrey A. Gee DDS Advanced Family Dentistry, we are proud to accept most dental insurance for the care and well-being of your oral health. Please visit our location in Sayreville, New Jersey.

Patient Forms

For your convenience please download, print out, fill out and bring the four forms provided below to your first appointment.

Fees & Payments

Our practice makes every effort to keep down the cost of your dental care. We kindly ask that you pay for your appointment after each visit. If your treatment plan requires several visits, you will be given an estimate and asked to make financial arrangements with a member of our staff. For your convenience, we accept most major credit cards.

Dental Insurance

Any insurance is an agreement between you and your insurance company. It is intended to cover some but not all of your dental care. Most plans include co-insurance, a deductible, and other expenses, which must be paid in full by the patient. Our office is more than happy to help you file your insurance for prompt reimbursement.
 
Smiling Girl - Dental in Morgan, NJ
 

Your Referrals

One of the joys of our practice is watching it grow as a result of your kind referrals. Our appointment book is always open to your family and friends.
 

Mutual Understanding

We hope to have enlightened you regarding our office policies. Please do not hesitate to ask us any questions that you may have at any time. It is only through mutual understanding and communication that the most effective and long-lasting treatment is administered. We are here to serve you in a highly professional and comfortable atmosphere.
 
 
TREATMENT & FINANCIAL PLAN POLICY
Our Pay-At-The-Desk policy helps avoid the high costs of billing, thus keeping your
visits less costly. Please help us by being prepared to pay at the time of your visit.

1. All insurance co-payments are due upon delivery of treatment. This includes
all deductibles, co-payments, and procedures that are not covered by insurance
company.
2. All payments are due on dcli\'cry of treatment. If patient wishes to be billed
or requests a financial plan, one can be given. However, no further treatment will
be performed unless prior procedures and treatment is paid in full.
3. For all major work which requires multiple visits, patient must have a down
payment at the time of the initial visit.
4. A finance charge of 1.5%. monthly (18.0°/o APR) will be charged on all
balances over 60 days old.
We will accept Visa, MasterCard and Discover.
Your appointments are very important to us. This time is reserved just for
YOU. Therefore, patients must advise OUR office of any changes in your
appointments within 24 hours. If appointments are cancelled in less than 24 hours
and scheduled time cannot be filled there will be a $50.00 no show I cancellation fee.
Please schedule appointments that do not conflict with your schedule to avoid any
unwanted charges or fees.
I have read and accurately completed the health history form attached.

 
 
 
Jeffrey A. Gee, D.D.S.
Advanced Family Dentistry
329 South Pine Avenue
Morgan, NJ 08879
(732) 721-2424
www.jeffreygeedentist.com

Acknowledgement of receipt of notice of privacy practices
By submitting your type written signature and date you are acknowledging your receipt of our privacy policy.