We want every appointment at Fremont Pediatric Dental to be smooth and stress-free for both you and your child. To help you save time, we’ve made important forms available online so you can complete them before your visit. If this is your child’s first appointment, having the forms completed ahead of time helps ensure a smooth visit and allows Dr. Salazar Dinh to review important health history without delay.
We also provide helpful information on insurance and payment options to support your family’s needs in Fremont, CA.
Patient Forms
Save time at your visit by downloading and filling out your child’s forms ahead of time.
- New Patient Information Form
- Insurance Information Form
- Flexbook Portal Access
Insurance We Accept
Our practice accepts a variety of insurance plans and is happy to help you navigate your child’s benefits. We’ll also take care of filing claims so you can focus on your child’s care.
We Currently Accept:
- United Healthcare
- Cigna
- Humana
- Guardian
- Principal
- Aetna
- Ameritas
- Blue Shield of California
- UNUM
- Beam
- GEHA
If your insurance isn’t listed, please reach out. We’ll gladly check if your plan is accepted and help you understand your coverage.
Financing & Payment Options
We are committed to helping every child access the dental care they need. If your family does not have dental insurance, please contact our team to learn more about available payment arrangements. We’re happy to walk you through your options and answer any questions you may have.