Patient Information


The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete an online appointment request.

Patient Forms

If you are a new patient to our office, please visit our patient forms page to download our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please contact our office if you have any questions at all.

Financial Protocol

Patients of Palacios Chen Family Dentistry pay the fee for dental services provided either upon checking out from their appointment, or following one of the alternative options listed below. We accept credit cards (Visa, MasterCard, Discover) cash or check.

Patients that have dental insurance can utilize their benefits in our practice. Although we are an out of network provider, we are happy to take your insurance information, and work hard to maximize your benefits by submitting claims/records on your behalf. Patients pay the fee at the time of service, we submit the claim, and the insurance company sends the covered amount to the patient. If the insurance check does come to our office, we will forward the check on to our patient.

Payment protocol

·  Fees are owed on the day of service or can be billed, to be due in 30 days

·  Fees can also be paid for utilizing these three payment options:

o      Pay in full same day of service by card, cash or check. 

o      Pay full balance spread out over 2-6 monthly interest free payments. This requires a credit card on file. The                card will be charged during the first week of each month.

o      Pay interest free monthly payments over the course of 7-24 months utilizing third party company Care Credit


 Why are we out of Network?

There are a few reasons that we as a practice remain out of network with dental insurance companies. First, we do not believe in allowing dental insurance companies into the operatory impacting the decision-making process surrounding your dental health. We believe dental treatment should depend solely on the goals and needs of the individual patient.

In addition, being out of network allows us to spend more quality time and attention with our patients, thus providing the highest level of dental health care and education possible.

Educational Dental Videos Education Dental Videos

Because we are committed to improving the oral healthcare knowledge of our patients, we are providing the following selection of dental videos which we hope you will find interesting and informative.  We have grouped the videos into various categories to provide quick access to the topics of greatest interest to you.

Click Here to watch our series of educational dental videos!

Frequently Asked Questions

Click Here to view some of the most frequently asked questions patients have about dentistry and oral health issues.


Send Us A Message

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.