Patient Forms

While we maintain a relaxing, comfortable atmosphere at our office, we know that some of the families who visit Root Canal Specialists, PC cannot stay here long. If you complete our new patient forms before your first appointment with Dr. McInerney, then we can speed up your check-in to our office. Contact our endodontist in Bingham Farms, Michigan, if you have any questions about the information needed on these forms. We are always happy to answer your questions. Before your first visit please fill out our New Patient Form.

New Patient Form

Care Instructions

Prior Surgery CarePost Surgery Care

Procedure Consent Forms

Consent for ApicoectomyConsent for RCT

Financial Options

At Root Canal Specialists, PC, we want everyone to benefit from our quality endodontics in Bingham Farms, Michigan. In order to help you pay for our service fees, Dr. McInerney accepts several financial options at our practice, including insurances like:

  • ADN Network
  • D-Care/Grid+
  • Delta Premier
  • UnitedHealthcare (not state plan)

We also accept CareCredit, cash, checks, and all credit cards. Please call our endodontist if you have questions about the different financial options we accept. Our helpful team will be glad to assist you.