At Kieffer Orthodontics we are dedicated to providing our patients with the highest
quality of care coupled with flexible financial options to meet your needs. Your initial
consultation with Dr. Kieffer is complimentary. If you decide to move forward with
orthodontic treatment, payment arrangements will be arranged to suit your needs.
For your convenience, we offer a courtesy for payment in full at the start of treatment
as well as in-house, interest-free payment plans and interest-free financing through
Chase Financial. We accept Visa, Mastercard, American Express and Discover
credit cards.
We are happy to verify your orthodontic insurance benefits and bill your provider
as a courtesy to you. Your insurance provider will reimburse you directly with any
orthodontic benefits you may have. We do not guarantee your orthodontic insurance
benefits or payment from your provider.
Click on the following link to download your pdf document: NEW CLIENT FORM
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