• Meet Our Staff
  • Diagnostic & Preventative Dental Care
  • Emergency Treatment
  • Cosmetic Dentistry
    • Overview
    • Teeth Whitening
    • Porcelain Veneers
    • Tooth-Colored Fillings
    • Tooth Replacements
    • Smile Bonding
  • Periodontal / Gum Disease Treatment
  • Crowns / Bridges
  • Root Canals
  • Dentures
  • Dental Implants
  • Invisalign
  • Sedation Dentistry
  • Our Technology
  • Forms & Payments
  • Request an Appointment Online
  • Pay Online
  • HIPAA Patient Privacy Practices
Call us today! (402) 339-2141  
  • home
  • Who We Are
  • What We Do
    • Where to Find Us
  • Forms & Payments
    • Contact Us

Forms & Payments

receptionFor your convenience, new patient forms are available for you below.

For our existing patients, you can login to your account below.

New Patients:

If you are a new patient, we are delighted to welcome you to our office! For your convenience, our new patient forms are available online to save you some time when you visit us for the first time. Click here to fill out the forms. We look forward to seeing you!

new patient forms

Existing Patients:

If you are already a patient who has been in to see us at least once, you can login and see helpful information about your account with us, fill out any necessary forms prior to your appointment, and even pay online. Click here to login.

existing patient login

PAYMENT Options

For your convenience, Elite Dental offers several payment options to fit your specific needs and budget:

  • Cash
  • Check
  • Credit Cards: Visa, MC, Discover, American Express
  • Care Credit: Interest free financing up to 12 months. Visit www.carecredit.com for more information.

We also accept several insurance plans.  Our knowledgeable staff can help you maximize your dental insurance benefits. Please let us know if you need help deciding which payment option would be the best fit for you and your family.

pay online here
request an appointment online

Elite Dental • 8104 South 96th Street, Suite 1 (96th & Brentwood) La Vista, NE 68128 • (402) 339-2141

© 2016 Elite Dental    •    design by Chip Thompson