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El Portal Dental Group

Patient Forms

The staff of El Portal Dental Group in Merced, CA looks forward to having you join our practice.  To schedule an appointment, please call us at (209) 385-1479

Completing the forms prior to your visit will help speed up the new patient registration process.

Interactive new patient forms

For services not covered by insurance, we offer flexible payment plans and no-interest financing options such as CareCredit or CitiHealth. You may apply quickly and securely via the web. Click on the logo below to begin the process.

 

Citi Bank   Care Credit   prosperhealthcare

We also accept Visa, MasterCard, and American Express. If you have any payment or billing questions, please call the office at (209) 385-1479.