For your convenience we accept Cash, Checks, Visa, MasterCard, American Express, and Discover. We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service is rendered unless other arrangements have been made in advance. If you have questions regarding your account, please contact us at 510-885-8720. Many times, a simple telephone call will clear any misunderstandings. A payment plan is also available through a credit application with Care Credit and Chase Financial.
To send your payment information to our office, pleaes click here. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information.
Our online form uses Adobe Acrobat Reader 9 or greater plug-in to conveniently submit the form from home or work. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at least version 9 of the plug-in to successfully use our online form.
You must open and submit the form in a Safari Browser with the latest Mac operating system. It is also important to have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office correctly, please download the free plug-in from Adobe's web site.
Shimane Oral and Maxillofacial Surgery | 20406 Redwood Road, Suite G, Castro Valley, CA 94546 | T 510.885.8720 | F 510.885.8724
Home | Patient Information | Meet Us | Dental Implants | Oms Procedures | Online Patient Registration | Referring Doctors | Office Map & Contact Us
Community Service & Philanthropic Program | Patient Testimonials & Featured Results | Office Philosophy & Office Design | Disclaimer | Sitemap
Dental Website Designby PBHS 2011©