Patient Forms - English
Save time by downloading and filling out our forms at home. Bring the completed forms to the office on your first visit. If you have any questions about our online forms, please don't hesitate to contact us today.
Patients
If you are a new patient of Lakeside Daytona Dentist, we cannot wait to welcome you into our dental office! Dr. Silva and our entire team look forward to being your partner in oral health for years to come.
Post Op Instructions, Daytona Beach, FL
Do you have an upcoming surgery or procedure? Learn some important post-operative instructions to ensure a safe and healthy recovery.
Financing & Insurance
High-quality dental care should fit comfortably within everyone’s budget, and that is why Dr. Silva and our team are pleased to accept dental insurance and offer convenient financing options to help our patients pay for our already affordable exceptional care. Keep reading to find out how we can help.
Dental Insurance
We work with your insurance!
For your convenience, we accept most dental insurances, and we will always work to get the most out of your benefits. We are proud to accept the following insurances! If you do not see your insurance, please call us at (386) 274-2021 and provide us with your insurance information so we can check eligibility.
Aetna, Ameritas, Cigna, Delta Dental, GEHA Dental Plans, Guardian, Humana Dental, Metlife, Mutual of Omaha, PPO, Principal Financial Group, and United Health Care.
In-Office Dental Plans
We work with you!
For our patients who do not have dental insurance and wish for an alternative to our previously mentioned financing options, Lakeside Daytona Dentist is pleased to offer our very own in-office discount plan. For one low regular membership fee, you can receive significant discounts on a set list of services that help you maintain a clean, healthy, beautiful smile. Don’t hesitate to contact us to learn more about this plan and how you can join!
Private Pay Dental Financing
Financing from our partners
Some of our patients want the ability to chew and taste amazing food again. Some of our patients want that smile that everyone compliments. Some of our patients simply want to feel better about themselves with a beautiful smile. Whatever your smile goals are, you can afford to get what you want.
CareCredit Financing
CareCredit is a third-party financier that works like a credit card reserved solely for your medical and dental expenses. Simply swipe it at the time of your appointment and then make payments at the previously-determined rate that suits you and your budget best. Most people are approved for CareCredit!
Lending Club Financing
With personalized loan options from Lending Club, you can borrow thousands in order to cover the costs of your next dental treatment. Whether your dental insurance doesn’t cover all of your costs or you don’t have insurance at all, Lending Club makes it easy to select your rate, term and payment option that fits your budget best. To apply and see if you qualify, feel free to follow the link below to learn more!
Proceed Finance Financing
Attractive extended repayment terms put affordable payments in reach. Get pre-qualified without impacting your credit score.
Cherry Financing
Treat Now. Pay Monthly. Let your money go further and take better control of your cash flow when you pay in smaller, more manageable monthly installments with Cherry.