Jess T. Ellis, DDS, MS Inc. 

Book an appointment today! (907) 272-3636

Patient Paperwork

Visit us for dental disorders treatment


In order for your visit to proceed as smoothly and efficiently as possible, we ask that new patients complete a patient form before arriving at our office. You'll find a link to the paperwork at the bottom of this page. If you have any questions while working on the form, or if you're interested in learning more about insurance and payment options, please don't hesitate to get in touch with us. We're here to help!

Insurance and payment

We're delighted to be able to say that our practice accepts almost all major dental insurance plans, including:
  • Delta Dental
  • Blue Cross Blue Shield
  • Geha
  • Cigna
  • MetLife
  • Guardian
  • Medicaid
Please be aware that you're responsible for any co-pay required by your insurance provider.

If you have a dental insurance provider that we don't accept, or you don't have dental insurance at all, we'd still be happy to see you at our office. All you have to do is pay for service at the time of your visit (we also offer payment plans for more complex procedures). Payment methods include all credit cards, cash and checks.
Patient forms
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