New Patients

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We Welcome New Patients

Our new patients have many choices, so we are pleased that you have chosen Beck Dental Center for your family’s dental needs. We look forward to your first visit, and we are committed to providing a positive experience. First-time visits can be overwhelming so we’ve assembled some helpful tips and information below to make the process easier. If you still have any additional questions, please call our office directly at 219.736.2309.

New Patient Forms

To save some time before your first appointment, we encourage new patients to please download our required forms. Once you have downloaded and completed all the documents from the three sections below (12 pages total), please bring them with you to your first visit.

You may also fax these forms to our office. Our Fax #: 219.736.2328

Welcome Packet And Registration

Patient Health History Forms

Privacy And Release Authorizations

Note: Please download Adobe Reader to view and print PDF files:

Insurance & Financial Information

Our office staff is happy to answer any questions new patients may have related to financial and insurance information. For your convenience, we have several payment options available. This allows patients to receive their desired dental care and still remain within their budget. We will gladly file your insurance claim(s) and do our very best to facilitate payment by your insurance carrier.


  • Most major dental insurance plans are accepted.


Beck Dental Center accepts:

  • All major credit cards including VISA, MasterCard, American Express and Discover
  • Cash
  • Checks
  • Debit cards
  • Interest-free financing available through CareCredit


We are pleased to offer our patients CareCredit to help cover the out-of-pocket costs of dental treatments. With CareCredit, patients can immediately begin treatment not covered by their dental insurance, then pay monthly with a plan that works best with their budget. This healthcare credit card offers minimum monthly payments and no upfront costs or prepayment penalties.

Patients may apply for CareCredit directly through our website using the following link:


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