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.

Registration FormConsent for ApicoectomyConsent for RCTConsent for SedationReferral Slip

Care Instructions

Prior Surgery CarePost Surgery Care

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 accept several financial options at our practice, including insurances like:

  • ADN Network
  • Aetna Network
  • Blue Cross Blue Shield Traditional
  • Cigna PPO
  • Connection Dental Network
  • Delta Premier
  • Dental Health Alliance
  • DenteMax Network
  • Guardian
  • UnitedHealthcare

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.

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