HEALTHY SMILES
FOR LIFE

585.924.8940

WELCOME TO VICTOR DENTAL CARE!

We’re happy that you’ve chosen our Victor, NY practice for your dental care. As we begin your treatment, we’d like to get to know you. Because your dental care is so important to your overall health, we have some information that we need to collect before we start treatment. This includes a medical history and release of records from previous dentists or other providers.

Please Complete Before Your Visit

Save yourself some time by printing out these forms and completing them prior to your appointment.

Medical History

Registration

Release of Records

Appointment Policy

For your convenience, Victor Dental Care will make appointments using our online contact form. Once scheduled, if you are going to be delayed or miss your appointment, please call 585.924.8940 as soon as possible.

Please note that your first appointment will take approximately one hour.

Insurance & Billing

Insurance benefits vary from patient-to-patient and plan-to-plan. If you are unsure of your dental benefit, please contact our office and we will assist you in determining your coverage.

Billing and payments are either financed using CareCredit, billing after your insurance carrier pays your benefit, or full payment on the day of service if you have no dental insurance. CareCredit allows you to finance treatment that is not covered by insurance. Visit for the instant approval process.

We accept cash, checks, or credit cards as forms of payment. We also offer a flexible payment plan—please ask for our Financial Coordinator for details. Our office is happy to file your insurance for your reimbursement if your plan allows you to choose your own dentist.