Existing Patient Forms

In order to best serve you, we need your updated information prior to your next visit with us. Click Here For Existing Patient Forms

By completing these forms, you ensure a seamless and contactless check-in process, you allow our administrative team to perform a courtesy insurance benefits check for you, and it allows your clinical provider to prepare for your visit ahead of time.

If you are a New patient, please click here to fill out your New Patient forms.

Financial Menu

We have many financial options for our patients to help them obtain the dental care they want and need. We work with each patient on an individual level to maximize insurance benefits and offer different payment options as need. Please call Gail or Brenda for more details! 860-779-1053

Click here for door to door driving directions

Insurance and Billing

  • Delta Dental Premiere
  • Anthem BlueCross/BlueShield 
  • Cigna PPO and Cigna DPPO/Advantage 
  • Medical Insurance for Sleep Apnea Therapy

Please call your insurance company to see if we are an "in network provider". Keep in mind we submit to all insurances. 

Many of our patients have no insurance or have an insurance we do not participate, and that's ok! We do submit to all. 

For specific questions regarding your insurance coverage, please call the number on your insurance card. 

Payment Options

  • Cash
  • Checks
  • Credit Cards: Visa, MasterCard, and Discover
  • CareCredit - interest-free line of credit if paid within a certain amount of time.

Financing Options

CareCredit is here to help you pay for treatments and procedures your insurance doesn’t cover. We offer No Interest* financing or low minimum monthly payment options so you can get what you want when you want it.

With three simple steps, including an instant approval process, it’s easy to apply for CareCredit. After you’re approved, you’re free to use CareCredit for the services you choose including LASIK, veterinary, dentistry, cosmetic, hearing aids and more.

CareCredit is endorsed by some of the most credible organizations specific to each healthcare profession we support. And CareCredit is a GE Money Company, so you know you can count on us. For over 20 years, we’ve been helping over five million cardholders get the healthcare treatments they want and need.

Now you don’t have to worry about saving up for the procedures you want and need. With CareCredit, the decision’s in your hands to get what you want, when you want it. For more information or to apply online, visit carecredit.com.

"A healthy body starts with healthy teeth!"

Contact Us

Killingly Dental Care

(860) 779-1053
1040 N Main St Dayville, CT 06241-2143