Patient Forms

New Patient Forms

Medical Records Request

Privacy Notice

Patients visiting Causeway Dental Care for the first time will be required to complete certain forms pertaining to our office policies, insurance, and other procedures; as well as, medical history and how your medical records and other information will be handled (HIPAA).

These forms will be provided to you when you arrive at our office. However, you may save time by bringing these completed forms to our office when you come to your appointment. You may also submit your forms online as mentioned above.

Please sign forms and email to causewaydentalcare@gmail.com or bring them to our office at the time of your appointment. Thank you.

As of Jan. 1, 2024, we do not offer any in-house payment plans.

We do offer Care Credit and Sunbit, We do charge $50 for appointments missed without 24 hour notice. Any patient that does this more than once will be required to pay a deposit before scheduling all future appointments.  Click our Financing Link above  for new options.

PAYMENT IS DUE IN FULL AT EACH AND EVERY VISIT. IF YOU HAVE DENTAL INSURANCE, AN ESTIMATE WILL BE CALCULATED AND YOU AARE RESPONSIBLE TO PAY YOUR PORTION AT THE TIME OF SERVICES ARE RENDERED.

Patient Forms

I have been a patient at Causeway Dental for the last 20 years. Their staff is always timely, organized, and friendly and I’m always satisfied with the results! I look forward to my appointments there and will continue being a loyal smiling client/patient!

SC-Nola resident

I LOVE THIS PLACE! The dentists and staff are very professional but also down to earth. The facility is clean and modern. The service I have received from this office is always been top-notch. If you are a person who doesn’t like the dental experience, they have the ability to put you ease with several options of sedation from mild to the utmost. Please give this office a try. You won’t be disappointed.

Stacy Reyes

I have never enjoyed the dentist but I love it here. No judgement and they truly care. Do great work and are very nice and friendly. I’ll never go to another dentist.

Krista Oregno