Forms & Financing

Democratizing Dental Care

someone writing on forms

Affordable • Accessible • Exceptional

At New Horizon Institute, we believe that every person deserves access to quality dental care for a healthy smile and thriving life. Our team is dedicated to putting patients before profit with exceptional care at a fraction of the traditional cost. With the support from our generous donors, New Horizon Institute is able to offer affordable dental implant solutions so you can get your beautiful smile back.

Single Tooth Implant

$950 - $1,400 per tooth

(Average private fee: $4,500)

Implant-Assisted Dentures

$2,500 - $3,500 per arch

(Average private fee: $12,000+)
See If You Qualify

New Patient Forms

Proudly Paperless

To make your appointment as smooth as possible, we’re happy to provide all of your new patient forms online. With just a click of a button, you can complete the forms before your appointment to save time in the waiting room. This information helps our team learn more about your oral health needs so we can focus on serving you with the very best personalized care as soon as you step through our doors. 

Prep For Your Visit

Download the following forms and send them to our team at office@newhorizondental.org to ensure an efficient appointment. You can also pay for your appointment online via our patient portal.

Medical Forms
Language Assistance
Patient Portal
Do I Qualify for Care?

Accepted Insurances

New Horizon Institute does not participate in-network with any insurance providers. If you do have insurance, our admin team will assist you in determining your benefits and coverage if your insurance provider allows out-of-network dental care.

No items found.

Your Search For Affordable
Dental Care Ends Here

Give Us A Call To Start Your Smile Journey

(480) 664-2270
orange canyon
Couple looking at their finances

Flexible Financing Options

Our Third-Party Lenders

No insurance? No problem! It’s our goal to help you achieve exceptional dental care without compromising your budget. With CareCredit and Proceed Finance, you can finance treatment on your own schedule that fits your unique budgeting needs. As two of the nation’s most reputable third-party healthcare lenders, CareCredit and Proceed Finance are trusted by thousands of patients around the country. Have questions? Give us a call today at (480) 664-2270 to learn how you can get started!

To find out if you qualify through Proceed Finance, visit https://www.proceedfinance.com/patients and under "Get Pre-Qualified" type in 6253-132-8996 under Provider Office Code.

Supported By Our Sponsors

Ready For A New Smile?

Call Us To schedule Your Appointment!

(480) 664-2270
Canyon background

See If You Qualify For Care

As a 501c3-designated non-profit clinic, New Horizon Institute seeks to provide quality dentistry for patients that cannot afford treatment costs. Complete and submit the following form to apply for dental care at a reduced price. Our team will reach out to you shortly.

Questionnaire

Are you missing a tooth or do you need a tooth removed?
If "Yes", how many?
Do you live in Arizona?
If "No", which state?
Do you currently have a denture?
How long have you been missing a tooth for?
1
Tooth 1
plus
Add Tooth
Remove Tooth
Are you a smoker?
When was the last time you went to the dentist?
Have you been diagnosed with a periodontal disease?
Contact FORM
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.