Patient Resources

New Patient Forms

Save time before your appointment by completing your new patient forms in advance. Our secure patient portal allows you to conveniently access patient intake forms and other required documents before your visit.


Please note that clicking the button below will take you to our secure patient portal, which is hosted outside of our website.

ACCESS PATIENT FORMS

Memberships

At Formica Family Dental we believe in making dental care accessible and affordable for everyone. Our dental memberships are designed for individuals who seek top-quality dental care. Whether you are a freelancer, a small business owner, a retiree, or anyone without dental insurance, our memberships offer a convenient and cost-effective solution.

  • No Waiting Period

Say goodbye to waiting periods. With immediate eligibility, you can start benefiting as soon as you sign up.

  • No Pre-Authorization Requirements

Our streamlined process means you can receive treatment without the need for pre-authorization, allowing for a quicker and smoother experience.

  • No Pre-Existing Condition Limitations

We believe everyone deserves access to good dental care. Our memberships have no exclusions for pre-existing conditions, ensuring you receive the care you need irrespective of your dental history.

GOLD Membership

10% discount on all services

Includes:

  • 1 exam per benefit period (including periodontal treatment)
  • 2 cleanings (Adult Prophylaxis)
  • 1 TMJ exam per benefit period
  • 1 digital set of X-rays per benefit period
  • Oral cancer screening

$550 value plus 10% discount

$489 per year

PLATINUM Membership

15% discount on all services

Includes:

  • 2 exams per benefit period
  • 2 cleanings (Adult Prophylaxis or Periodontal Maintenance)
  • 1 TMJ exam per benefit period
  • 1 free emergency visit per benefit period
  • Unlimited digital X-rays
  • Oral cancer screening

$1050 value plus 15% discount

$599 per year

PEDIATRIC Membership

15% discount on all services

Includes:

  • 2 exams per benefit year
  • 2 cleanings per benefit year
  • 2 fluoride treatments per benefit year
  • Necessary digital X-rays
  • Oral cancer screening

$614 value plus 15% discount

$399 per year

When using financing, discount decreases by 5%.

Insurance

We accept most dental insurance plans and are happy to help you make the most of your available benefits. Our knowledgeable team will work with you to explain your coverage, answer your questions, and help you understand your treatment and payment options.


In addition to dental insurance, we also accept all major credit cards, personal checks, and cash for your convenience.

Financing

Quality dental care should be accessible when you need it. That's why we offer several financing options, often interest-free, allowing eligible patients to receive necessary dental treatment without delaying care due to financial concerns or a lapse in insurance coverage.

Care Credit

Learn More
CALL US TO LEARN MORE ABOUT FINANCING

Frequently Asked Questions

  • How often should I visit the dentist?

    The American Dental Association recommends visiting your dentist every six months for routine exams and professional cleanings. Regular visits help prevent dental problems and allow us to detect concerns early.

  • Do you accept dental insurance?

    Yes. We accept most dental insurance plans and will gladly help you understand your benefits and maximize your coverage whenever possible.

  • Do you offer financing?

    Yes… through Cherry, Sunbit and Care Credit

  • Are you accepting new patients?

    Yes- We welcome new patients of all ages and look forward to helping you achieve a healthy, confident smile.

  • What should I bring to my first appointment?

    Please  complete your new patient forms online several days before you come.  This helps us give you a more accurate picture of your benefits. When you come you will just need your Picture ID, Insurance card if using insurance, and a list of any medications you are taking. 

  • Does your office offer laser dentistry?

    Yes. We proudly offer advanced Solea laser dentistry for many procedures, providing a more comfortable experience with reduced need for needles, drills, and lengthy recovery times.

Formica Family Dental Practice

Edward J Formica DDS, Inc.

Accepting New Patients

1303 State Street, Hemet, California 92543, United States

Learn about Dental Procedures and Dental Health

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