Doctor Filing Patients Form

Save Time At Your Appointment By Being Prepared

Ontario Chino Dental Center invites you to fill out your patient forms prior to your appointment with Dr. Krupakar Reddy Yeturu. Completing your paperwork in advance streamlines your experience at our office, and helps us keep our practice running smoothly and on-schedule. Please contact us if you have any questions or need assistance, and to make your appointment with our dentist in Ontario, California. We are always happy to help you!

Patient Forms

Adult Patient Form

Under 18 - Child Patient Form

Financial Options

Ontario Chino Dental Center offers a variety of financial options to meet your needs. While the cost of your treatment will vary depending on your treatment plan and your individual needs, it should never prevent you from seeking dental care. Our team will work with you to ensure that your treatments fit within your budget, and will discuss the cost of your dental care and your payment options prior to your treatment. For more information on our payment options and to schedule your appointment with our dentist, please call us at (909) 984-2476.

We accept the following forms of payment:

  • Cash
  • CareCredit
  • Checks
  • Credit Cards
  • Lending Club

Insurance Information

We are in-network with all major insurances, including:

  • Aetna
  • Anthem
  • Cigna
  • Delta Dental
  • MetLife
  • Premier Access
  • United Concordia
  • UnitedHealthcare
  • And more!

If you have any questions about our accepted insurances or payment options, please contact our dental office in Ontario, California. We will be happy to help you understand your financial options and treatment, and we will work with you to create a payment plan.

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