Contact/Forms

Contact Your Local Dentist

in Hamilton Today!

518 Park Ave, Hamilton, OH, 45013

info@doctordebbane.com

(513) 887-6654

Cash, check, debit cards and major credit cards accepted.

We also accept Care Credit

CareCredit

FORM SUBMISSION

Registration & Forms

The files below are our new patient registration and HIPPA Compliance forms. Please fill out, the following forms and submit them in the contact us field above.

Cancellation Policy

We have reserved dedicated time in our office for your dental appointment. If you find it necessary to cancel, please contact us at least 24 hours prior to your appointment time. Without proper notice, you may be charged a $35 fee which is subject to change without notice.

Financial Policy

We accept the following forms of payment: Cash, check, Visa, MasterCard, discover and CareCredit. Payment for services is due at the time services are rendered unless prior arrangements have been made with the doctor and the billing receptionist.

Send Us A Message

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