Patient Information

Forms & Info.

Please feel free to print and fill out prior to your dental appointment:


New Patient Medical History (pdf)

Office Policies and Payment Practices (pdf)

Notice of Privacy Practices (pdf)

Need help with our forms, or ready to fax us?

Phone (585) 266-4860 | Fax (585) 266-5477

Insurance & Costs


Dental insurance is intended to cover some, but not all of the cost of your dental care. Most plans include co-insurance, a deductible and other expenses which must be paid by the patient.

If you have dental insurance, please bring your plan information and insurance card to your first visit. We will work with you to assure that you receive the maximum benefits to which you are entitled. As a service to you, we will file most of your insurance claims for you. This is done by our staff daily in order to expedite payment on claims. 

We are currently participating providers for Excellus Blue Cross/ Blue Shield and its contracted affiliates. We also serve a great number of patients who see Dr. Sweeney out of network. Please call us to see how we can help you.

Payment Options

Payment is expected at the time services are performed. When more extensive dental care is necessary, financial arrangements can be made with our office only in advance of starting your treatment.

For your convenience, we accept cash, personal checks, money orders, Visa, Discover and Mastercard. Financing is available with Care Credit.

New Patients

Welcome! Your first visit to our office is an important one. You'll be given a thorough oral examination to create a starting point for your dental care. If you require treatment beyond cleaning, we will custom-design a plan for you. Whether you're coming in to enhance your smile or for general dental care, we promise to treat you with the utmost respect and consideration.Welcome

IMPORTANT: All patients under the age of 18 must be accompanied by a parent or guardian.

Among many things, you can expect:

  • Gentle care at the hands of highly skilled and experienced professionals

  • Custom education based on treatments you require or request

  • Courtesy appointment reminders are available in your preferred method of contact (such as phone call, email, text we have on file)

  • Modern amenities, including new technology, instruments and treatment material

  • Free parking at rear of building

  • The latest magazines for your enjoyment in our reception area

Call Irondequoit Family Dentistry at (585) 266-4860 to book an appointment today!

Please feel free to print and fill out prior to your dental appointment: Comprehensive New Patient Form (pdf)

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