Patient Info

Patient Registration Forms

Save time by completing your paperwork before your appointment, or paying online using the links below.

Download, print, and complete the patient registration form kit. Be sure to bring them to your next appointment.

Insurance and Payment Information


Our office is committed to helping you make the most of your dental insurance benefits. We accept most insurance plans and are a Network Provider for:

  • Aetna
  • Ameritas
  • Assurant/SunLife
  • Blue Cross Blue Shield (most in-network plans; please check with our front desk coordinator)
  • Careington Platinum PPO/POS and MaxCare
  • Cigna DPPO Advantage and Radius
  • Delta Dental PPO
  • Guardian
  • Humana Dental
  • Lincoln
  • MetLife
  • Principal
  • Renaissance
  • United Concordia
  • United Healthcare

Because insurance policies vary in coverage from plan to plan, we can only estimate your coverage in good faith, but cannot assure coverage due to the complexities of insurance contracts. As a courtesy to you, we will submit insurance claims. However, we ask that you pay the estimated patient portion at the time of service. We will attempt to help you receive full insurance benefits. However, you are personally responsible for your account. We encourage you to contact your insurance directly if your policy has not paid within 30 days.

Payment and Financing

Your dental treatment plan will include a breakdown of all applicable fees. We will inform you of all costs before treatment is administered. We accept debit, cash, check or credit (Discover, Master Card and Visa) payments.

We offer financing through Care Credit as an option, please speak with our Front Desk Coordinator to review your options and to apply for financing.

Special Arrangements

Please ask a member of our staff and we will review our payment options to accommodate your financial needs. If special arrangements are needed, please speak with our Front Desk Coordinator, prior to receiving service.

How Can We Help Your Smile?



From the moment I walked in the door and was greeted by name with a smile for my first appointment at Cooper Dentistry I knew it was going to be a great visit. It was the most comfortable, enjoyable experience I've ever had at a dentist!

Dr. Cooper and her staff are wonderful! They always make me feel so comfortable, and that's a tall task at the dreaded dentist! The office is very up to date and modern looking. I especially love the fact that she has her rooms separated for extra privacy. I highly recommend Cooper Cosmetic & Family Dentistry for all of your dental needs!

Dr. Cooper and her staff are beyond amazing! They are very personable and polite as soon as you walk through the door. The environment feels more warm and welcoming and less like a doctors office. I was having trouble finding a dentist who would actually listen to my concerns, as I am uncomfortable having work done. Not only did they listen to me, they understood!

The staff at Cooper Cosmetic & Family Dentistry is amazing. I have a lot of dental anxiety and they have helped me with my fears. I now enjoy going to the dentist to have my teeth cleaned to see everyone in the office. I highly recommend this place. All three dentists that work there are amazing.

We love Cooper Cosmetic & Family Dentistry. They are truly a family practice. Their staff has always been warm and welcoming to our whole family. I am always impressed with their knowledge of insurance and the proper ways to file and get the best use of our benefits. They are a community practice through and through.


They are an office full of knowledgeable and caring staff. My daughter started coming here when she was 2.5 years old and I can't say enough positive things. I love them for myself, but you know you've found a winning practice when you have a child ASKING to go to the dentist!


Great experience. Everyone on the staff is very friendly. All of their hygienists are very competent. You can't go wrong with any of them or any of the three dentists. I use to dread going to a dentist, but going to Cooper Cosmetic & Family Dentistry is always a positive experience.


Total 5 star experience from the front door to the chair and beyond. Nice office, fantastic front desk staff, great hygienists, and skilled dentistry are all I've ever had here. Cooper Dentistry will keep your teeth happy and healthy. I look forward to my visits and can't love this dentist enough!


Excellent and highly recommend! Can't say enough great things about Cooper Cosmetic & Family Dentistry. Dr. Cooper and her staff are wonderful. They have excellent customer service and superior care! I had a mini crisis and they were able to get me in the same day, fix me up and on my way in no time.