Welcome to the office of Dr. Kallen K. Hull! Below you will find the most commonly used forms in our practice.
You may fill out your paperwork using one of the two methods:
**If you prefer to fill out forms online please click on the secure link below and you will be directed to our secure patient portal. This can be done from a PC or any mobile device.
Click Here For Our Online Forms
**If you prefer to print out the forms, simply click on each form and they will open in PDF format.
Kallen K. Hull, DMD PC Medical History.pdf
Kallen K. Hull, DMD PC Informed Consent for General Dental Procedures .pdf
Kallen K Hull, DMD PC Appointment Policy.pdf
Kallen K. Hull, DMD PC HIPAA Release of Information.pdf
Kallen K. Hull, DMD PC Patient Consent for Electronic Communication.pdf
About dental benefits:
To get the most up-to-date list of dental insurances we work with, it would best to contact us directly.
As a courtesy, our staff will contact your insurance company to find out what your benefits are, however, we encourage our patients to educate themselves about their specific dental insurance plans. It is important that our patients have a good understanding of their policy's benefits and limitations.
Most dental insurance plans do offer some benefits that may be covered at 100%, such as cleanings. Certain procedures, however, are only paid at a certain percentage or may have frequency limitations, and will require a copayment on the part of the patient.
We are happy to submit claims and/or pre-treatment estimates to your dental insurance. Copayments, deductibles, and any procedures that are unpaid by your insurance due to plan limitations or lack of benefits at the time the claim is processed are ultimately your financial responsibility, therefore it is important to have a thorough understanding of your benefits. No dental benefits? No problem. Click on the "Learn More" link to the left to learn about our in-office dental membership plans.