Forms & Financing
A Seamless Visit Starts Here
New Patient Forms
Planning your first visit to Authentic Dental of Willmar? We can’t wait to get to know you! With paperless new patient forms, we’re making it easy to get started. Simply complete your forms from the convenience of your smart device and enjoy a streamlined experience tailored just for you.
Digital forms coming soon!
No Insurance? No Problem!
Join Our Membership Plan
save $291 each year
AUTHENTIC PROPHY PLAN
$35/month
$320/year
- 2 Regular cleanings
- 2 Periodic exams
- 1 Routine X-ray set
- 2 Fluoride treatments
- 1 Emergency exam
- 2 Oral cancer screenings
- All-On-X Implant Dentures - $20,000/Arch
- Clear Aligner Orthodontics - $2,950
- Financing Excluded
Up to 15% off other procedures completed at our practice.
You'll save $541 each year
AUTHENTIC PERIO
PLAN
$45/month
$450/year
- 3 Periodontal cleanings
- 2 Periodic exams
- 1 Routine X-ray set
- 2 Fluoride treatments
- 1 Emergency exam
- 2 Oral cancer screenings
- All-On-X Implant Dentures - $20,000/Arch
- Clear Aligner Orthodontics - $2,950
- Financing Excluded
Up to 15% off other procedures completed at our practice.
You'll save $297 each year
AUTHENTIC CHILD
PLAN
$25/month
$250/year
- 2 Child cleanings
- 2 Periodic exams
- 1 Routine X-ray set
- 2 Fluoride treatments
- 1 Emergency exam
- Financing Excluded
Up to 15% off other procedures completed at our practice.
Where Quality Meets Accessibility
Accepted Insurances
Authentic Dental of Willmar is all about providing excellent dental care built on integrity and compassion. Which is why we’re glad to accept Delta Dental to help keep great dentistry inclusive for our community. If you have any questions about your treatment options, our knowledgeable crew is just a phone call away at (320) 235-2010. We’re always happy to help you understand and maximize your benefits!
Care Within Your Budget
Flexible Financing Options
It’s our goal to help you flourish with a lifetime of healthy, confident smiles. To help ensure modern, personalized dental care is always within reach, we accept CareCredit, Proceed Finance and Alpheon , three of the nation’s most reputable healthcare financing companies. Contact our supportive team to learn how we can help you get started with CareCredit, Alpheon or Proceed Finance today!
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