Patient Resources
Welcome to our Individual & Family Dental Plan
New Patient Forms that includes personal information along with medical history are available to download in digital format.
We offer a variety of payment options and referral to providers that fit your pocket. Our financial coordinator will gladly file all the necessary paper work on your behalf.
We make every effort to provide you with the finest care and the most convenient financial options.
Take the first step to achieving your perfect smile by filling out our brief questionnaire.
GD-Dental Plan makes it easy for you to save on dental care without the paperwork hassle and annual limits of individual dental insurance.
Please print and fill out our New Patient’s Forms below and bring it with you in your first appointment.
New Patient Medical History
Payment Options - Gentle Dental of Newark, NJ
We have arranged 2 interest-free financing options for you to help you receive the treatment you desire. Our financial coordinator will gladly file all the necessary paper work on your behalf, so you can get started on treatment immediately.
Schedule treatment without delay and fit the cost into your monthly budget with a responsible payment plan offered through Lending Club Patient Solutions.
Dental financing that makes you smile
Paying for anything from braces to implants is easy with us. We’re here to help you pay for the treatment your dental professional recommends. With a fast online application and flexible payment plans.
Financing Highlights
- No interest payment plans for 6, 12, 18 or 24 months.
- Extended payment plans up to 48 months.
- No down payment, plus instant credit decisions with no application fee.
Getting the treatment your practitioner prescribed is important—so Extended Plans offered through Lending Club Patient Solutions allow you to finance from $2,000 to $50,000. With Extended Plans, your rate is determined by the amount financed, term selected and the applicant’s credit history. With No-Interest Plans for 6, 12, 18 or 24 months-after that 22.98%, you can finance from $499 to $32,000.
There is no interest provided you pay in full in 6, 12, 18 or 24 months. If you still have a balance at the end of the promotional period, you’ll be charged interest on that balance going forward at the standard variable APR of 22.98%.Of course, these must be qualified expenses, and the credit account/payment plan is subject to credit approval. Some payment plan options may not be available in all provider offices. Still have questions? Call us: 800-630-1663. We’re here to help.
Care Credit is a flexible patient/client payment program, specifically designed for healthcare expenses, that makes it easier for you to get the treatment or procedures you want and need. Care Credit is ideal for treatment and procedures not covered by insurance, and can be used at our office.
Care Credit lets you begin your treatment or procedure immediately—then pay for it over time with low monthly payments that are easy to fit into your monthly budget. Checkout our payment calculator.
Care Credit offers a full range of No Interest and Extended Payment Plans for treatment fees from $1 to over $25,000.
Financing Highlights
- 12, 18 and 24 month plan options
- No interest if the balance is paid within the specified time period
- Low minimum monthly payments
Financing Highlights
- 24, 36, & 48 month plan options
- For treatment fees from $1,000 to over $25,000
- Monthly payments as low as $25 for a $1,000 fee balance
With Care Credit, you pay no up-front costs, no pre-payment penalties and no fees. Plus, Care Credit is a revolving credit line for additional treatment or add-on charges, without the need to re-apply.
Other Payments Options
We accept following debit and credit cards.
With an Alphaeon Credit card, you have access to a wide array of monthly payment options, helping you achieve your best smile. Enjoy special financing options** on purchases over $250 with credit lines up to $25,000 and the ability to reuse your card for future treatments.
Financing Highlights
- Special Financing Options: Available on any purchase over $250.
- Credit Lines up to $25,000: Flexible limits for comprehensive dental care.
- Reusability: Continue to use your card for additional treatments without reapplying.
Alphaeon Credit makes it easy to manage your dental expenses, ensuring you can move forward with your treatment plan without delay.
Still have questions? Call us: 800-630-1663. We’re here to help.
Other Payments Options
We accept following debit and credit cards.
We have arranged 2 interest-free financing options for you to help you receive the treatment you desire. Our financial coordinator will gladly file all the necessary paper work on your behalf, so you can get started on treatment immediately.
Enjoy the Benefits
GD-Dental Plan – Gentle Dental of Newark, NJ
- Full Mouth Digital X-Rays (lower radiation)
- Comprehensive Evaluations & Treatment plan
- General & Specialties Consultation (Periodontic-Orthodontic-Endodontic)
- Emergency Exams
- NO Deductibles
- NO Pre-determinations
- NO Exclusions or waiting period
- NO Dental pre-exisiting conditions exclusions
- NO Claims Filing/ services to improve your appearance, confidence, comfort and general health.
Interest Free up to 24 Months & Additional Payment Options Available. Subject to approval.
For more information about our GD-Plan, please call 973-817-8888
If you have any emergency Dentist’s need, simply call 24 hour emergency 911