Patient Information for Westminster Dentist Dr. Gary Imm

We offer a convenient way to prepare your new patient packet prior to your visit to our office. Click on the link below, print the form, and fill it out, Then you may mail, fax or bring the completed form with you on your next appointment.

Patient Information Form

For your convenience, financing is available through Capital One Healthcare Finance or CareCredit. For more information, please visit their websites listed below.

Capital One Healthcare Finance

    * No initial payment
    * Payment plans ranging from 18 to 60 months
    * Minimum finance charge
    * Prepayments can be made at any time without penalty
    * Fast, confidential service by phone at 1.877.559.5050, or online at their secure website
    * Automated phone application
    * Easy online application

CareCredit

    * No initial payment
    * Interest-free payment plans available
    * Payment plans ranging from 3 to 60 months
    * Fast, confidential service by phone at 1.800.365.8295, or online at their secure website
    * Automated phone application
    * Easy online application

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