Offices in Temecula and Lake Elsinore — (951) 699-8011
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Temecula and Lake Elsinore - (951) 699-8011

New Patient Forms

Temecula Orthodontist

NEW PATIENTS: Please check your email for a special invite link to fill out the new insurance forms. If you cannot locate the email, please click on the button below and fill out the forms online prior to your appointment. This is secure and HIPAA compliant. Thank you.

Please see our Insurance page for answers regarding the types of PPO plans we accept.

Secure and HIPAA Compliant



If you are on active duty, we recommend applying for the Tricare Dental Program (TDP). View all the great benefits you receive through United Concordia Dental with Tricare for Active Duty members.


  • Unlimited Annual Maxium
  • No Waiting Periods
  • $3,000 Orthodontic Lifetime Maxium

We recommend applying for United Concordia's Federal Employees Dental and Vision Insurance Program (FEDVIP) if you are retired military or a current government/civil service employee.

Both types of members can apply and enroll for a free account with United Concordia Dental on their websites, and the coverage for orthodontic services exceeds what regular dental insurance companies offer.

Burke & Redford Orthodontists thank you for your service and we want you to get the most from your available benefits.

We look forward to meeting all of our new patients during your first visit to our office.

During this time, we will help you get acquainted with our office and learn about your orthodontic treatment. We understand that each patient’s orthodontic treatment is different and we promise to give you the personal attention you deserve. Your first orthodontic visit will consist of an examination and discussion of potential treatment options. This visit will address your orthodontic needs to determine if this is the proper time to begin.

The doctor may recommend that we wait for further dental maturation before determining if orthodontic treatment will be necessary. In this instance, he will ask that patient to return periodically for check-ups to monitor growth and development so that treatment can be initiated at the most favorable time for the best results.

It is very important to us that you come away from this visit with a very clear understanding of your individual needs, how these needs will be met, how long it will take and how much it will cost.  We always want you to feel comfortable asking any questions that you may have about any part of the orthodontic process.


The cost of treatment depends on the severity of the patient’s problem. You will be able to discuss fees and payment options before treatment begins. We have payment plans to suit different budgets, including a no-down-payment option. We also accept assignment of benefit from most insurance plans and file the necessary papers to the insurance company.


If full payment is made at the onset of treatment, we will offer a fee discount.

To fit your needs, financial arrangements can be made to extend your payments over a period of months.

For your convenience, we accept payment by Visa, Mastercard and Discover.


If you have insurance, we ask that you bring all of the insurance information we would need to help determine the benefits you may have available. When you come for your initial appointment, we will contact your insurance company to confirm benefits and answer any questions you may have. Our staff is happy to handle the filing of all your insurance forms, so you don’t have to. We are a premier provider for Delta Dental.

Please remember to click on the blue button above to fill out your insurance information on the secure website prior to your appointment, or look for a special, unique invite link in your email.

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