Patient Resources

Patient Resources

Thank you for choosing Pam Butterfield DDS for your dental needs.

We strive to provide a comfortable environment where you'll feel confident in the level of dental care you receive.

Prior to your first visit, please complete insurance and health information forms online that will allow us to be appropriately prepared for your dental appointment. This will also help you become acquainted with our office.

Current Patient Links

Click the link below to login to your account, request your appointment online or to refer family and friends.

Patient Online Forms

Patient Forms are now available online so you can complete them at your leisure - saving you time in our office and giving you time to carefully review our policies and procedures. Click on the "Submit Forms Online" button to fill out and submit your form directly to the doctor. No downloading, printing, or writing.

New Patient Printable Forms

Our New Patient Forms are now available for download so you can complete them at your leisure - saving you time waiting in our office and giving you time to carefully review our policies and procedures. If you would like to complete the form before arriving at our office, please click the "Download Forms" button to download the form in PDF format. You may print out the form and bring it to your first appointment.

Payment Options

We are committed to providing quality and affordable dental health care. You have multiple options for payment available. For your convenience we accept cash, Visa, checks, major insurance, MasterCard, and CareCredit.

If you would like to extend payments over a longer period of time, we offer CareCredit. Click on the CareCredit logo for more information.

We understand that unexpected dental bills can sometimes strain finances. If this happens, talk with us immediately by calling us at 253-854-2004. If you help us keep the lines of communication open, we can usually work out acceptable arrangements.

Credit card logos
CareCredit

Financial Policies

1. INSURANCE: As a convenience to you, our office will submit claims to your insurance carrier, but the patient or guardian is responsible for the account. Copayments will be estimated and are due at the time a procedure is performed. The patient is responsible for furnishing the correct insurance information. Should an insurance policy pay benefits directly to the subscriber or patient, payment for under such contract will be due in full at the time of treatment.

2. PAYMENT OPTIONS: Monthly payments are available through CareCredit, MasterCard, and Visa are accepted.

3. CANCELED OR MISSED: There is a charge of $100 per half hour for canceled appointments with less than two business days notice or missed appointments.

4. FINANCE CHARGE: At a rate of 1% the past due balance is assessed a finance charge and the charge is added to the account balance. The minimum charge per month is $1.00.

5. RETURNED CHECK: There is a $50.00 returned check charge. The amount of the check plus the check charge must be paid with a credit card or in cash.