Great Smiles Wellness Plan
Enrollment Form
Send us a Message
Enrollment in our Great Smiles Wellness Plan is easy.
- Call our office and schedule your Great Smiles Wellness Plan New Patient Appointment for you and your participating family members. Or, if you have questions, complete the form below and ask our office to call you to schedule your appointment.
- Complete the online enrollment form below. Or, click here to download a fillable form and email it to info@gccdentistry.com.
- Visit our office for your New Patient Appointment. Enrollment fees will be due at the time of service.
Free Whitening for Life
Schedule your new patient appointment and receive free whitening for life*! Refer a friend or family member for free whitening, as well.
Learn More New Patient Forms
Complete our new patient forms here. They submit directly to our patient records system so you don’t have to print!
Complete Forms Dental Wellness Plan
No insurance? Participate in our Dental Wellness Plan. We want to make comprehensive dental care affordable for all families.
Sign Up Schedule Now
We offer convenient hours for your schedule.
| Mon – Thur | 7AM – 5PM |
| Fri | 7AM – 2PM |