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Access Dental Plan (Individual)

ComprehensiveHealthcareOptions.com, 12835 E. Arapahoe Rd Tower 1 Suite 830 Centennial, CO 80112
Phone: (303) 649-9311     Fax: (303) 649-9036     Toll Free: 1 (866) 870-6399

Membership Information
Plan
Membership
Status

General Dentist
Wesminster Dental Health (Arvada)
Bright Now! (Arvada)
Family and Implant Dentistry (Arvada)
Dr. Dougherty (Aurora)
Comfort Dental (Aurora)
Li'l Teeth Dentistry/Salida Smiles (Aurora)
Dr. Kinder (Aurora)
Windsor Dental Care (Aurora)
Alameda Dental (Aurora)
Bright Now! Tower Road (Aurora)
Open and Affordable Dental (Aurora)
Dr. Joo (Aurora)
Dr. Andy Lee (Aurora)
Dr. Fahmy (Aurora)
Comfort Dental (Aurora)
Dr. Terrance Wohlbaum (Aurora)
Bright Now! Prospect Ave. (Aurora)
Dr. Gryzick (Aurora)
Dr. Bentley (Aurora)
Cherokee Trail (Aurora)
Forest Hills Dental Care (Aurora)
Dr. Nichols (Bailey)
Open and Affordable Dental (Bennett)
Dental Health of Boulder (Boulder)
Dr. Daniel (Boulder)
Family and Implant Dentistry (Boulder)
Riverdale Dental (Brighton)
Open and Affordable Dental (Brighton)
Mountain View Family Dental (Brighton)
Prairie Center Dental Care (Brighton)
Broomfield Dental Group (Broomfield)
Dr. Marogil (Broomfield)
Dr. Feeley (Broomfield)
Dr. Mata (Broomfield)
Dr. Berry (Broomfield)
Amherst Park Family Dental (Broomfield)
Broadlands Family Dentistry (Broomfield)
Cedar Mountain (Castle Rock)
Bright Now! (Castle Rock)
Vogl Dental Arts (Castle Rock)
Dr. Houser (Castle Rock)
Shadow Rock (Castle Rock)
Glow Comprehensive Dentistry (Castle Rock)
Castle Rock Dental Group (Castle Rock)
Smoky Hill Family Dental (Centennial)
High Country Dental (Centennial)
Comfort Dental (Centennial)
Dr. Michael Miller (Centennial)
Heather Park Dental Care (Centennial)
Dr. Case (Centennial)
Orchard Dental (Centennial)
Dr. Myers (Centennial)
Dr. Hudec (Centennial)
Dr. Rowe (Centennial)
Dr. Christ (Centennial)
Sarah Meyer, DDS (Centennial)
University Park Dental (Centennial)
Jade Dental Professionals (Colorado Springs)
Dr. Rodriguez (Colorado Springs)
Cheyenne Mountain (Colorado Springs)
Sayers Dental (Colorado Springs)
Bright Now! (North Citadel) (Colorado Springs)
Bright Now! (North Academy) (Colorado Springs)
Jade Dental Professionals (Colorado Springs)
North Summit Dental (Colorado Springs)
Reunion Dental Care (Commerce City)
Commerce City Family Dental (Commerce City)
Comfort Dental (Commerce City)
Dr. Braud (Commerce City)
Dr. Rinaldi (Commerce City)
Comfort Dental (Conifer)
Dental Health 16th St. (Denver)
Bright Now! (Denver)
Auraria Dental Oasis (Denver)
Dr. Paini (Denver)
ATA Dental Center (Denver)
Dr. Quandt (Denver)
Dr. Collis Johnson (Denver)
Capitol Hill Dental Group (Denver)
Dr. Huskey (Denver)
Dr. Sakamaki (Denver)
Sloan's Lake Dentistry (Denver)
Dr. Schlagel (Newton St.) (Denver)
Dental Health at Midtown (Denver)
Denver Family Dental (Denver)
Dr. Coombs (Denver)
Dr. Wachuta (Denver)
Dr. Madden (Denver)
Accord Dental (Denver)
Dr. Kye Lee (Denver)
Integrity Family Dental (Denver)
Comfort Dental (Denver)
Dental Health at the DTC (Denver)
Dr. Pyne (Denver)
Ian Topelson, DMD (Denver)
Dr. Johnston (Denver)
L.M. Kuljis DDS (Englewood)
Dr. Bodoni (Englewood)
DaSilva Family Dentistry (Englewood)
Dr. Shank (Englewood)
Comfort Dental (Englewood)
Vista Ridge Dental Care (Erie)
Firestone Dental Care (Firestone)
Dr. Miller (Foxfield)
Dr. Marogil (Frederick)
Dr. Johnson (Ft. Collins)
Bright Now! (Ft. Collins)
Dr. Buxton (Ft. Collins)
Boardwalk Dental (Ft. Collins)
Dr. Murphy (Ft. Collins)
Dr. Allen (Ft. Collins)
Clear Creek (Ft. Collins)
Dr. Losacco (Georgetown)
Dr. Topelson (Glendale)
Dr. Wachuta (Golden)
Golden View (Golden)
Comfort Dental (Grand Junction )
Dr. Brown (Greeley)
Dr. Thorne (Greeley)
Dr. Jamison (Greeley)
William Case DMD (Greenwood Village)
Elena Bodoni DDS (Greenwood Village)
Bright Now! (Highlands Ranch)
Rock Canyon Dental (Highlands Ranch)
Open and Affordable Dental (Hudson)
Dr. Bender (LaSalle)
Family and Implant Dentistry (Lafayette)
Dr. White (Lafayette)
Dr. Winnicki (Lafayette)
New Day Dentistry (Lakewood)
Bright Now! (Lakewood)
Family and Implant Dentistry (Lakewood)
Comfort Dental (Lakewood)
Dr. Milausnic (Lakewood)
Dr. Chavez (Lakewood)
Dr. Caldwell (Lakewood)
Dr. Paswaters (Lakewood)
Comfort Dental (Lakewood)
Dr. Schroeder (Lakewood)
Dr. Wise (Lakewood)
Rocky View Dental Care (Littleton)
Guaranteed Smiles (Littleton)
Littleton Family Dental (Littleton)
Old Town (Littleton)
Dr. Kempton (Littleton)
Dr. David Bevans (Littleton)
Dr. Lampert (Littleton)
Dr. Furini (Littleton)
Red Rocks Family Dentistry (Littleton)
Dr. Nichols (Littleton)
Southwest Dental Care (Littleton)
Clement Park Dental Care (Littleton)
Dr. Oldroyd (Littleton)
Sun Creek Dental Group (Littleton)
Dr. Carlile (Littleton)
Gentle Dental of Lone Tree (Lone Tree)
Dr. Ambida (Lone Tree)
Dental Health of Longmont (Longmont)
Dr. Megan Murray (Longmont)
Bright Now! (Longmont)
Comfort Dental (Longmont)
Dr. Craig Larson (Longmont)
Jackson Creek Dental Care (Monument)
Comfort Dental (Monument)
Dr. Ziegler (Northglenn)
Alpha Dental North (Northglenn)
Bright Now! (Parker)
Trail View Dental Care (Parker)
Dr. Thomasson (Parker)
Dr. Roberts (Pueblo)
Dr. Villalon (Pueblo)
Dr. Saunders (Pueblo)
Dr. Graves (Pueblo)
Barron Family Dental (Thornton)
AAA Family Dental Center (Thornton)
Dr. Eric Johnson (Thornton)
Bright Now! (Thornton)
Hilltop Dental Care (Thornton)
Wesminster Dental Health (Westminster)
Westminster Dental Arts (Westminster)
Bright Now! (Westminster)
Aspen Hill Dental (Wheat Ridge)
Dr. Wachuta (Wheat Ridge)
Dr. Bruhin (Windsor)
Windsor Dental (Windsor)
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New Patient

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Payment of Membership Fees
Upon completion of this form, you will have the option to pay your Membership Fees using your credit card via a secure payment portal. If you choose to pay by credit card, you will receive an email confirmation of payment. If you prefer, you may mail your payment to Comprehensive Healthcare Options, 12835 E. Arapahoe Rd., Tower 1, Suite 830, Centennial CO 80112. Your membership is activated on the day we process your payment.

Terms
I wish to become a member of the Access Dental Plan. I understand the limitations, exclusions and requirements of the plan. I understand that the Access Dental Plan is not insurance. I agree to pay any and all costs in collecting all charges, including but not limited to attorney fees and court costs. I understand membership must be continuous; that membership is on an annual basis; and I may terminate coverage on any anniversary of my enrollment. I understand all fees for services are payable when the services are rendered. I understand that I am eligible for a full refund of membership fees within 30 days of purchasing the Access Dental Plan. I understand that, as a result of cancellation of this plan, my dentist will retroactively bill me for the difference in the amount payable under the plan and his/her services I received while I was a participant of the plan. I understand that participating providers, fees for services and membership fees may change periodically. I certify all information on this form is true.
Acceptance (Please type "Accept" to accept the terms of this application)