Patients Form

Island Pediatric Dentistry

Insurance Plans:

We work hard to help you utilize your insurance plans as best as we can. Here is a limited list of insurance plans that we are in network with:

Aetna Empire
Ameritas Humana
Assurance Metlife
Carerington Principal
Cigna Solstice
Delta United Healthcare
DHA

We are pleased to accept cash, checks, and major credit cards.

Fill Out Patient Form

Please download the patient's form below, and bring a copy on your visit or call us at (516)437-6000 to get instructions on how to send the form online.