Patient Information
Patient Forms
Patient Information
Alliance Oral & Maxillofacial Surgery welcomes you to our patient family. Here, you'll find valuable information and tips about insurance, appointment scheduling and payment policies. We encourage you to browse this section thoroughly, and we hope you find answers to any lingering questions about our credentials, mission statement, and much more. We look forward to serving you and your family!
Mission Statement
To provide oral and maxillofacial surgery with integrity, compassion, and excellence.
You will be treated with kindness, concern, and consideration. As someone who has chosen us as one of your healthcare providers, you are very important to us; and we want you to know that we truly care about you.
Background Information
Oral and maxillofacial surgery is a specialized field of dentistry that addresses a wide array of issues relating to the mouth, jaw and facial regions. Our field requires additional 4 to 6 years of training and education beyond dental school. Dr. Parmer and Dr. Macholl have both attained MD degrees, and have undergone hospital-based training in the safe administration of Intravenous (IV) sedation and general anesthesia. Alliance Oral & Maxillofacial Surgery provides full range of oral and maxillofacial services, with expertise in everything from dental implant surgery and wisdom tooth removal to corrective jaw surgery. Our doctors also reconstruct jaws, repair facial trauma, and address oral pathology.
Surgical Staff
At Alliance Oral & Maxillofacial Surgery, we couldn't do what we do without the assistance of our top-notch surgical support staff! All of
our associates are experienced, and hold all the necessary certifications to function as surgical assistants, including assisting in the administration of IV sedation and surgery. Our front office staff are well versed in all the financial aspects of our business, including insurance coverage. Plus, our entire staff is CPR certified.
Scheduling and First Visit Information
Alliance Oral & Maxillofacial Surgery is open Monday–Thursday from 8:00am to 5:00pm, and Friday 8:00am to 2:00pm. If you are in pain or have a dental emergency, we will do our very best to see you that day. Please call us at 817-741-2200 with any questions or to schedule an appointment.
Your First Appointment
When you come in to see us for the first time, we'll start by evaluating your condition, explaining your diagnosis, and proposing different treatment options. In some cases, we can perform some surgery the same day as the consultation. Typically, though, a patient's medical history and/or treatment plan will require an evaluation at the first visit, then another appointment for the actual treatment.
You can help us out tremendously by having the following ready at the time of your consultation:
- A surgical referral slip and x-rays (if any)
- A complete list of your medications, including OTC
- A valid photo ID
- Completed Patient Registration forms
- Your medical and dental insurance cards
IMPORTANT
All patients under the age of 18 must be accompanied by a parent or guardian at the consultation visit.
If your procedure involves IV anesthesia, please do not eat or drink anything for eight hours prior to your surgery. All sedated patients, regardless of your age, will need to be accompanied by an adult to drive you home.
X-Rays
If your dentist has taken x-rays, we would appreciate you having them forwarded to our office. Our front desk coordinators will follow up with your provider's office. Additional digital images can be taken at our office.
Insurance and Financial Information
Insurance Information
Alliance Oral & Maxillofacial Surgery wants to do everything humanly possible to provide you with the best care, and the most workable financial options. We are known for going above and beyond our competitors in that we accept most insurance plans and can happily file paperwork with primary and secondary insurance providers.
To ensure there are no hiccups in payment for your care, please have your medical and dental insurance cards at hand when you call to make your appointment. Please also bring these to your first office visit as well. You can reach us by phone at 817-741-2200.
If you have any questions or concerns at any time, please don't hesitate to ask our staff.
Financial Policy
Alliance Oral & Maxillofacial Surgery strives to provide the finest care at the most reasonable cost to our patients. Payment is due at the time service is rendered. If you are uninsured, or your insurance doesn't cover the full cost of your procedure, Alliance Oral & Maxillofacial Surgery accepts Visa, MasterCard, and Discover. We also partnered with Care Credit, which provides flexible financing options, including interest free payments.
When we submit a claim to your insurance, they should respond within six to eight weeks. Any balance remaining, after your insurance has paid theiris your responsibility. Prompt payment of any outstanding balances is always appreciated. If you have questions regarding your account, please contact us at 817-741-2200.
Patient Registration and Privacy Policy
Alliance Oral & Maxillofacial Surgery is all about patient convenience. That's why we make the forms you need for your first appointment available on our website. Click the links at the top of this page to download the forms, then fill them out (black ink only, please), and bring them with you to your consultation. If you have any questions about these forms or need to change your appointment, please call us at 817-741-2200. We look forward to seeing you!
Privacy Policy
In compliance with local, state and federal laws, we have made our notice about our privacy practices, legal duties, and your rights concerning your health information publicly available. This notice also outlines how certain information about you may be used and disclosed, and how you you can obtain access to this information. Please view or download our Notice of Privacy Practices for your information.