ONLINE SCHEDULING @ Franklin Park
We do not accept Medicaid plans at this location.
New Patients Only
Please type in the following information in the “ADDITIONAL INFORMATION” text box at the scheduling page. We need the following information:
With Insurance:
In “ADDITIONAL INFORMATION” text box:
If you do not have your insurance info handy:
Type “With Insurance”
Name of Insurance company
If you have your insurance info
If patient is the subscriber:
1- Name of Insurance Company
2- Insurance ID #
If patient is NOT the subscriber:
1- Name of Insurance Company
2- Insurance ID #
3- Subscriber full name
4- Subscriber DOB
5- Patient’s relationship to subscriber
No Insurance
In “ADDITIONAL INFORMATION” text box:
type “No Insurance”
Whether you need cleaning.
The reason for your visit