Policies & Forms

Policies and Forms

Thank you for choosing Wilson Dental Clinic for your dental needs.  Our goal is to make your visit as comfortable as possible.


Scheduled appointments are reserved especially for you.  We ask that you kindly give us a 24 hour notice if you need to cancel or reschedule your appointment.

Insurance and Payments

We will file any insurance as a courtesy for our patients.  All charges are your responsibility and payment will be due at the time of service.  Deductible and percent not covered by insurance will be collected at your appointment.  We offer a 5% discount to our patients who are not covered by any dental insurance, when paying with check or cash.  We accept cash, check, credit cards, and CareCredit.

Wilson Dental Clinic participates with Delta Dental Premier, Wellmark Blue Dental, Principal, and United Healthcare.

New Patient FORMS

To save our patients time in our office filling out paperwork, we ask that you please fill out the Patient Information and Health History Information by clicking on the link below and selecting the submit button when finished.  Please complete the form at least 24 hours prior to your appointment.

New Patient Information & Health History