Forms and Policies
Welcome to Sager Dental Group! Please print, fill out and bring the completed New Patient Registration Form with you to your first appointment. We look forward to meeting you!
This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
If you have any questions about these materials or documents, please contact us or call (406) 586-9871.
Billing and Payment Policy
- Sager Dental Group will submit claims to insurance carriers as a convenience to all our patients. At this time, we request authorization to balance-bill a major credit/debit card to cover amounts determined by your insurance company to be your responsibility. It is also your responsibility to have a complete understanding of your insurance coverage and benefits.
- Upon receipt of an explanation of benefits from your insurance carrier(s), any unpaid portion of your claim will be billed to your credit or debit card.
- All credit/debit card information will remain absolutely confidential and securely stored by eProcessing Network, our merchant services provider. Sager Dental Group will not store any banking information.