Patient Forms

We invite you to complete our patient forms before your visit with our Fallon dentists, Dr. Jaques and Dr. Shepphird. Simply submit your patient forms online to save time at your appointment! We welcome you to contact us at Fallon Family Dental Care with any questions. Our helpful dental team is ready to answer your questions!

Current Patients

New Patients

Financial Options

Our friendly dentists and dental team at Fallon Family Dental Care are committed to providing high-quality dentistry that meets all of your dental needs, as well as convenient payment options that fit your family’s financial situation. We are in network with the following dental insurance providers:

  • Ameritas (Diversified Dental)
  • Anthem
  • Anthem Blue Cross Blue Shield (Diversified Dental)
  • Banner
  • Best Life & Health (Diversified Dental)
  • CBSA (Diversified Dental)
  • CDS Group Health (Diversified Dental)
  • Dental Select (Diversified Dental)
  • EBMS (Diversified Dental)
  • First Health Medicaid/HP Enterprise Services/Nevada Check-Up
  • Great West and Annuity (Diversified Dental)
  • Guardian
  • Health Scope Benefits (Diversified Dental)
  • Humana
  • Lincoln National Life Insurance (Diversified Dental)
  • MetLife
  • Premier Access
  • Principal Life (Diversified Dental)
  • Reliance Standard (Diversified Dental)
  • SBC Communications (Diversified Dental)
  • Standard Insurance (Diversified Dental)
  • United States Life Insurance (Diversified Dental)

We participate with United Concordia; however, a write-off does not apply. We invite you to contact us if you have any questions about dental insurance. Our dental team is happy to assist you!

In addition, we accept the following forms of payment:

  • CareCredit
  • In-house financing
  • Cash
  • Checks
  • All major credit cards

CareCredit, a third-party financing company, provides low- and no-interest payment options to help your family afford comprehensive dentistry. We also offer interest-free in-house financing options, as well as a 5% discount if treatment is paid for in full at the time of service. To learn more about any of our financial options, we welcome you to call our dental office in Fallon, Nevada. We look forward to speaking with you!