WELCOME TO DAILY ROSEN!
Save some time in the reception room and fill out our new patient forms ahead of time. Also, take a look around our office and get to know our dentists and staff. You can print the PDF and bring it in with you, or fill it out on your computer and submit it to us below. We look forward to seeing you!
NEW PATIENT FORM
We are delighted to welcome you to our practice and are pleased that you chose us to serve your dental needs. Our mission is to treat our patients like family, while providing the highest quality dentistry, resulting in healthy, beautiful smiles. Your appointment will take approximately 1 1⁄2 hours. In order to be seen promptly at the time of your appointment, please complete the attached “Patient Information Forms” before your arrival. If you have dental insurance, please bring this information with you to your appointment. We also ask that you arrive 10 minutes before your scheduled appointment time. If you have any current x-rays, please let us know ahead of time so that we may request those x-rays. Otherwise, we will be taking new x-rays. If you are unable to keep the appointment you have scheduled with us, please notify us at least 48 hours in advance.
Daily Rosen offers financing through CareCredit. Click here to apply!
Think of CareCredit as your own health, wellness and beauty credit card. Whether it's oral surgery, getting a crown or a general check up, you shouldn't have to worry about how to get the procedures you want. That’s why we're pleased to accept the CareCredit health, wellness and beauty credit card. CareCredit lets you say "Yes" to recommended surgical and non-surgical dental procedures, and pay for them in convenient monthly payments that fit your financial situation.
CareCredit is a healthcare credit card that helps you pay for treatments and procedures for you or your family that may not be covered by insurance. With special financing options* You can use your CareCredit card again and again for your dental needs, as well as at 200,000 other healthcare providers, including dentists, optometrists, veterinarians, ophthalmologists and hearing specialists.
It’s free and easy to apply and you’ll receive a decision immediately. If you’re approved, you can schedule your procedures even before you receive your card. With more than 21 million accounts opened since CareCredit began nearly 30 years ago, they are the trusted source for healthcare credit cards.