Forms & Financing

Patient Forms

Need your forms Forms Ahead of time?

We offer electronic registration forms sent via text and email for ease and convenience. Completion of these forms are required within 48 hours of scheduling to secure reservation and to allow for Dr. Patel and her team to review it in preparation for your child's visit.

Our Accepted Insurances

Keeping Dental Care Simple

Dental care shouldn’t be complicated. That’s why we’re happy to accept a range of PPO insurance plans for your child’s visits to our office. Our team of experts will gladly answer any questions you may have about dental insurance, and will help you maximize your benefits so your little one gets the care they need.

Flexible Financing Options

Every Child Deserves To Smile

At Pinky Promise Pediatric Dentistry, we believe in keeping quality dental care accessible to all of our little patients. To ensure healthy smiles are in reach, we partner with CareCredit, a national healthcare lender, so you can create payment plans that fit your child’s dental needs, as well as your budget and lifestyle.

No Insurance? No Problem!

Ask us how we can help!

If you have any questions about financing, please give our office a call at (630) 687-9292. We'd be happy to answer all your questions.

Gentle Cleaning

We’ll gently clean your child’s teeth and gums to ensure their smile stays healthy, and to minimize the risk of cavities.

Comprehensive Exam

Dr. Neelon Patel will perform a thorough exam of your child’s mouth, and assess their development while keeping an eye out for signs of decay.

Digital X-rays

Advanced, low-radiation radiographs are extra-safe, and provide crucial details about your little one’s oral health.

Schedule Your Child’s Appointment Today

Ready, Set, Smile!