Thank you for your interest in becoming a new patient of the Alliance Dental Center.
At this time, we are unable to accept new patients.
However, we do have an intake process you can follow to determine if our office is a ‘good fit’ for you and steps you can take to be considered as a new patient.
Please download and print, read and complete the New Patient Intake Questionnaire form. Once you have completed the form, you can either mail, fax or upload to mpefund.org/ADCForm. We do not accept emails. Upon receipt of your form, you may receive confirmation from the MPE Fund with any next steps. You must allow 21 business days from receipt of your form to receive a confirmation!
Submitting the New Patient Intake form is not a guarantee we can accommodate new patients.