New Patient Information
At Coombs, Ross & Sourlis Family Dentistry, we’re always thrilled to welcome new patients. Our team sincerely hopes to make this experience as comfortable, as stress-free, and as ultimately satisfying as possible through our dedicated efforts. Before you arrive, though, there is some important information that we’d like for you to know ahead of time. If you have any questions or concerns about what you read below, please contact our Rock Hill, SC dental office for clarification.
Your First Dental Visit
At your initial appointment, our doctors will generally want to start with a one-on-one appointment. By being able to speak directly with Dr. Coombs, Dr. Ross, or Dr. Sourlis right off the bat, our patients can express their reasons for visiting, their specific smile-related concerns, and any goals they hope to achieve at our dental office clearly. Then, we can start working towards a highly personalized treatment plan that will address your needs and hopefully exceed your expectations as well.
Patient Forms
While our waiting room is a very comfortable space, we understand that patients would probably like to spend as little time as possible there. That’s why we now offer online patient forms for added convenience! Just print out the files at home, write in your information, and remember to bring them with you to our dental office. With this step completed ahead of time, our team will be able to bring you back to get started with your scheduled visit that much faster.
Patient Medical History HIPAA Consent Form Notice of Privacy PracticesDigital Forms
Dental Insurance Accepted
Navigating your insurance coverage can be a difficult task, but our Rock Hill team is here to help by personally handling claims on your behalf. We will file all of the necessary paperwork and work to maximize the valuable benefits available to you through your coverage as much as possible, which means that you can stay fully focused on achieving a healthier, happier smile. Other available payment options include cash, checks, and major credit/debit cards.
Financing Available
If you don’t currently have insurance coverage, flexible payment plans through CareCredit can work wonders in helping make the cost of dental procedures you need and want (even cosmetic options) much more manageable. This financing comes in several possible lengths, and little to NO interest is attached as well. Plus, they can be arranged for the entire family. To see if you’re eligible, just apply at the link below:
Join Our VIP Smile Club
Are you a patient of our dental office without dental insurance? Then join our VIP Smile Club, make low monthly payments for your preventive care, and save money today!
Adult membership 13 and Older
$40/mo. $50 Lifetime Activation Fee
- Professional dental cleanings
(2 per year) - Doctor exams (1-2 per year)
- Needed x-rays*
- One emergency exam
per year (if needed) - 15% off all other treatments
(some exclusions may apply) - $50 Lifetime Activation Fee
includes first month
Perio membership Periodontal Disease
$59/mo. $50 Lifetime Activation Fee
- Perio maintenance cleanings
(3 per year) - Doctor exams (1-2 per year)
- Needed x-rays*
- One emergency exam
per year (if needed) - 15% off all other treatments
(some exclusions may apply) - $50 Lifetime Activation Fee
includes first month
Child membership 12 and Younger
$37/mo. $50 Lifetime Activation Fee
- Professional dental cleanings
(2 per year) - Doctor exams (1-2 per year)
- Needed x-rays*
- One emergency exam
per year (if needed) - Fluoride treatment
- 15% off all other treatments
(some exclusions may apply) - $50 Lifetime Activation Fee
includes first month