Patient Forms
To continue making your dental experience pleasant, we have conveniently provided our dental forms below, so that you can submit them in the comfort of your home or bring them into the office with you.

Payment Policy
We understand that your smile is as important to you as it is to us. In an effort to help our patients reach their dental needs both physically and financially, we will assist you in reaching a comfortable financial solution that will fit your situation.
For those without insurance, we accept Visa, Mastercard, American Express, Debit Cards, cash, check, and CareCredit. A 3% credit card fee on credit cards, not debit cards, does apply.
To make matters easier we file all insurance claims on your behalf. If you have any questions about insurance eligibility or coverage, call us at 901-861-0031.

Insurance Policy
We understand that navigating dental insurance can be overwhelming. That's why our knowledgeable team is here to help you every step of the way. The Max Dental Center accepts a wide range of insurance plans to make your dental care affordable and accessible. We'll work closely with you to maximize your benefits and offer flexible financing options if needed. Your oral health is our priority, and we're committed to finding solutions that fit your budget.





Cancellation Policy
We make every effort to stay on time and honor your time. We understand that things come up unexpectedly that may delay or cause you to have to cancel your appointment. Please give us at least 24 hours notice before cancelling an appointment. A fee of $25.00 may be assesed if 24 hours notice is not given.

Schedule an appointment today!