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 dentists in Atlanta, Georgia, Dr. Omar Damji and Dr. Ron . By completing your forms in advance, you will save time at your appointment. We welcome you to call 404-633-1853 with any questions; we look forward to speaking with you!

Online Form

Downloadable PDF

Financial Options

Our talented dentists 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
  • Cigna
  • Connection Dental GEHA
  • Delta Dental Premier
  • Guardian

In addition to dental insurance, we accept the following forms of payment:

  • Cash
  • Checks
  • Visa
  • MasterCard
  • American Express
  • CareCredit®

CareCredit®, a third-party financing company, provides low- and no-interest payment 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!

Care Credit

We also offer specials to make your care more affordable. Check them out by clicking the link below!