Patient Forms

We welcome you to complete our patient forms before your appointment with Dr. Kizer and Dr. Smith, our experienced dentists in Germantown, Tennessee. By filling out your forms beforehand, you can save some time at your visit. If you have any questions or need assistance, we invite you to contact us today at Kizer Dental Associates. We are happy to answer your questions!

Online Patient Forms


Downloadable Patient Forms

Financial Options

At Kizer Dental Associates, we strive to make exceptional dental care available to you and your family. We offer several financial options to accommodate your family’s needs. We will present your treatment plan prior to the start of treatment, and you will speak with our financial specialist to ensure that your treatment and financial plans are convenient for you. We accept any PPO insurance plan and are in network with the following dental insurance plans:

  • BlueCross BlueShield of Tennessee
  • Cigna Radius Network
  • Delta Dental

If you have any questions about dental insurance and your benefits, we welcome you to contact our knowledgeable dental team. We also accept the following forms of payment:

  • CareCredit
  • Checks
  • Cash
  • Credit cards

CareCredit is a third-party financing company that provides no- and low-interest payment plans. To learn more and to apply for CareCredit, we invite you to visit their website. For more information on any of our financial options, please feel free to call or visit our friendly dental team. We are eager to speak with you!