Patient Forms
We have provided our patient forms here to help you prepare for your dental visit at Executive Park Dentistry. We invite you to complete these patient forms before your visit with our caring dentist in Atlanta, Georgia, Dr. Omar Damji. By completing your forms in advance, you will save time at your appointment. We welcome you to call our dental office with any questions; we look forward to speaking with you!
Downloadable PDF (Fill it out on your computer and print, or print it to fill out by hand.)Online Form (Fill it out on the website and print, or submit it electronically to our office.)
Financial Options
Our talented dentist at Executive Park Dentistry is committed to providing payment options that fit your family’s financial situation. We are in network with the following dental insurance providers:
- Aetna PPO
- Assurant PPO
- Careington
- Cigna
- Connection Dental GEHA
- Delta Dental Premier
- Guardian
- Humana Dental
- MetLife Dental
- United Concordia
In addition to dental insurance, we accept the following forms of payment:
- CareCredit
- Cash
- Checks
- Visa
- MasterCard
- American Express
- Lending Club
CareCredit, a third-party financing company, provides low- and no-interest payments plans to help you and your family afford high-quality, compassionate dental care. If you would like more information on any of our financial options, please call our dental office. Our knowledgeable team is happy to assist you!
