Thank you for considering Dr. Theis for your dental treatment. In order to make the process simple and easier for our patients, we have given you access to our office forms. Please feel free to print and fill them out before your first appointment. If you have any questions regarding these forms or procedures, please give us a call at 419-447-6453
Payment for services is due at the time services are provided unless payment arrangements have been approved in advance by our office manager or business assistant. We accept cash, check, Visa, Mastercard and Care Credit. We will be happy to help you process your insurance claim for your reimbursement. Any such request must be accompanied by a completed insurance form at each visit.
Appointment Cancellation Policy
If you must change or miss an appointment, we require a 48-hour notice. Cancellations, last minute rescheduling or failure to show will result in a broken appointment charge of $80.00, or no reappointment. If more than one family member is scheduled & fails to make their appointment a $80 cancellation fee will be assessed for the first individual and $50 for each family member thereafter. This policy is strictly enforced.