PATIENT INFORMATION

At our modern offices, we believe that every aspect of your care should be convenient. 

NEW PATIENT FORMS

Save time at your appointment and complete our easy patient forms ahead of time! Please click the buttons below to complete the appropriate patient forms online. Each link provides a patient information form for either a child patient or an adult patient. In order to save you some time in our office, you have the option of filling out the forms before you arrive. Also, please bring your insurance card so we can check for orthodontic coverage.

CARE WITHIN YOUR BUDGET IN CROZET AND STAUNTON, VA
Insurance and Finance

At Ashley Orthodontics, our goal is to provide outstanding value for reasonable fees. We do not want finances to be an obstacle to obtaining a beautiful smile. The cost of treatment depends on the severity of the patient’s problem. We offer flexible payment plans options in order to meet the financial needs of all of our patients. Each payment plan is specific to the patient’s needs, and we’ll discuss your insurance policy and payment options with you in-depth before you start treatment.

Many insurance plans offer orthodontic coverage, and we are happy to work with your insurance company to guarantee that you receive the maximum benefit available to you. Once we have determined your insurance coverage and filed it for you; we will sit down and come up with a monthly payment plan that fits your budget. We also offer discounts to patients who are able to pay in full on the front end.

We accept most insurance plans and are participating providers with Delta Dental!

Please contact us at 540-885-6815 and we will do everything we can to accommodate you. Please schedule your complimentary consultation for more information.

YOUR FIRST VISIT AT ASHLEY ORTHODONTICS

The team at Ashley Orthodontics is excited to welcome you to our practice. We look forward to getting to know you and learning how we can help you achieve a beautiful, healthy, lifelong smile. At your complimentary consultation, you will meet Dr. Ashley, our lovely smile team, learn more about orthodontics, receive a thorough clinical examination to include x-rays and photos and find out which type of braces will work best for you. During your complimentary consultation, we will:

  • Review your dental history and health forms
  • Examine your teeth, mouth and bite
  • Take x-rays and images of your teeth and bite
  • Create an individualized treatment plan where we will discuss the treatment options
  • Discuss financial options, insurance benefits and payment plans

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Complimentary Consultation

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CONTACT
Us

STAUNTON OFFICE

CROZET OFFICE