Patient Resources

Patient Forms

Would you like to save some time during your visit to our office? We invite you to complete our new patient paperwork in advance of your first appointment with Dr. Ricardo C. Guillen, our friendly dental office in Portland, Texas. Simply download the forms below to get started. If you have any questions, please feel free to contact our dental office. We are glad to assist you however we can.

 

Financial Options

Dr. Ricardo C. Guillen and our dental team are dedicated to helping you receive the dental care you need. We offer a number of financial options to accommodate your family’s needs. We accept the following forms of payment:

  • Cash
  • Check
  • Credit cards and debit cards (American Express, Discover, Visa, and MasterCard)
  • CareCredit
  • Advance Care

CareCredit and Advance Care are outside financing companies that offer low- and no-interest payment plans for your convenience. Please click on the links below to visit their websites, learn more, and apply online.

AC_Logo_Color_Web CareCredit

 

We also accept most dental insurance plans and are providers for most PPO insurance plans, including:

  • Aetna
  • Ameritas
  • AlwaysCare
  • Assurant
  • Baker Benefits Administrators
  • Boon Chapman
  • Cigna
  • Comp Benefits
  • Connection Dental
  • Dearborn
  • Delta Dental Premier
  • Dental Select & Dental Select Plus
  • EMI Health
  • Employer Plan Services
  • Entrust
  • First Dental Health
  • GEHA
  • Great West
  • Guardian
  • Health Partners
  • Humana
  • Lincoln Financial
  • MetLife
  • Mertain Health
  • MetLife TRICARE
  • Plan Administrators
  • Principal
  • Reliance Standard
  • Security Life
  • Sunlife Dental
  • United HealthCare
  • UMR
  • United Concordia
  • 32 Dental

We are not currently providers for HMO insurance plans.
We invite you to contact our dental office in Portland, Texas, for more information about dental insurance or our other financial options. We are happy to answer your questions.