TWO RIVERS FAMILY DENTAL ESTABLISHED PATIENTS MEMBERSHIP PROGRAM AGREEMENT
For New Patients, please Contact Us using our Contact Us form on our website.
The membership program provided by Two Rivers Family Dental is designed to provide simple, predictable, and affordable options resulting in greater access to regular and consistent quality dental care. This Dental Membership Program is not insurance and cannot be used in conjunction with conventional dental insurance. If you acquire and use ANY 3rd party insurance plan during the 12-month agreement period, this membership cannot be used. Providing a dental membership program is a viable alternative to conventional dental insurance.
Our plan options are simple.
The annual membership fee per plan is as follows:
Child Member Annually $252.00, reflects savings of $239.00 or 49% discount.
Adult Member Annually $384.00, reflects savings of $446.00 or 54% discount.
Perio Member Annually $528.00, reflects savings of $528.00 or 51% discount.
A 15% discount is offered on additional dental services if services are paid in full on the date of service. No other discounts apply.
Exclusions are:
- TMD/Sleep Appliance Therapy
- CBCT Imaging
- Pathology Reports
- BioRejuvenation Dentistry
- Invisalign
- Sedation Dentistry
- Retail items, (i.e. toothbrushes, whitening products, periodontal products, etc.) are not included in the discount.
This is an annual plan and begins on the date you pay the membership premium and is good for 1 year from that date. You will be notified of the renewal date 7 days before your anniversary date. Your membership will automatically renew unless you contact us to cancel prior to your anniversary date. The membership is non-refundable or transferable.
Please refer to the details of our program options and sign-up online at www.tworiversfamilydental.com. Call the office at 920.794.7100 and Bridget, Julie, and Jessica will be happy to answer any questions you may have.
NEW PATIENTS
Please fill out the form below entirely and our Scheduling Coordinator will contact you to confirm an appointment.