Patient Information
Patient Forms

To continue making your dental experience pleasant, we have conveniently provided our dental forms below, so that you can fill them out in the comfort of your home and bring them into the office with you.

Patient Registration Form

Health History Form

Insurance Information Form

Dental Insurance

Courtyard Dental Care accepts most types of insurance plans. We make it our goal to help you maximize your dental insurance benefits, and make any remaining balance easily affordable.

We are preferred providers for Delta Dental Premier, MetLife, AETNA, & CIGNA. Many plans now share PPO networks, so we may be in network for your plan even if it is not one of the plans listed above. If you have questions regarding your dental plan coverage and benefits, please don't hesitate to call and speak with one of our expert staff.

We are affiliated with the following Dental Insurance Networks:

  • Aetna
  • Assurant
  • Cigna
  • Dental Health Alliance
  • Delta Dental PPO
  • Delta Dental Premier
  • Guardian
  • GEHA
  • MetLife PDP Plus
Payment Policy

At Courtyard Dental Care, our patients' health always comes first. We believe financial concerns should never stand in the way of you getting the care you need and deserve. Our caring and knowledgeable staff will with work with you to find a payment option that will work best for your needs.


We are sensitive to the financial needs of our patients, and through our partnership with CareCredit, we are able to offer many affordable payment options. CareCredit is the nation’s leading finance company that works exclusively in healthcare services.

CareCredit allows you to choose from a wide range of payment options, such as low monthly payments, which are paid over time, or 12 months with no interest. Please call our office to learn more, or visit The online application process is easy, and you will receive an instant online decision.


Meet The Auburn Staff

Phone: 530-823-2568
Fax: 530-823-7310

11990 Heritage Oak Place #12
Auburn, CA 95603
Get Directions


Meet The Roseville Staff

Phone: 916-784-6300
Fax: 916-784-6343

2231 Douglas Blvd., Suite 110
Roseville, CA 95661
Get Directions