Patient Information
Appointments
Our staff is always ready to help with you scheduling, insurance or anything else you may need during your time with us. We will take extra care to listen to your concerns, answer all your questions and thoroughly explain your condition and treatment options. To schedule an appointment, please call us at 803.547.1888 or use our online Request an Appointment form.
If you would like to make an appointment, please contact our office by phone or email. Our office facilitates communications, and emergency calls and appointments are available and welcome, especially for new patients seeking help.
Hours
Monday - Wednesday: 8:00 am to 5:00 pm
Thursday: 10:00 am to 7:00 pm
Friday: by special appointment only
Closed: Saturday - Sunday
Financial
We will be more than happy to submit all insurance forms from dental insurance plans for you and help you recover the most from your benefits. We will do everything we can to help you afford the treatment you need and want. For patients who require major work, a complete payment plan is designed with an appropriate payment schedule. Forms of payment accepted by the office are check, cash or any major credit card. We also accept Care Credit®, please click on the link below for further details or to apply.
Cancellation
If you are unable to keep an appointment, we ask that you kindly provide us with at least 24 hours’ notice. We ask for this advance notice so that we can offer this appointment to another patient. A fee may be charged if a patient does not show up for an appointment without sufficient notice. We would like to take this opportunity to thank you for choosing our practice for your dental care.
New Patient Forms
If you have made your initial appointment, you can preregister by clicking on the links below to download our New Patient Forms. Please print and complete the forms prior to your arrival. This will help to speed up the new patient registration process.
- Office Policy
- New Patient Form (English)
- New Patient Form (Spanish)
- Credit Card Authorization Form
- HIPPA Authorization Form
- Notice of Privacy Practices
Helpful Links
Discover Fort Mill’s most trusted and personalized family dental care center. Dominguez & Rucker Family Dentistry, of Fort Mill, SC, is known for its comprehensive general and cosmetic dentistry and patient convenience. Call us at 803.547.1888 or use our easy online Request an Appointment form to schedule your consultation. Se habla español!