| Hours: |
| Monday |
8:00 AM - 4:30 PM |
| Tuesday |
9:00 AM - 5:30 PM |
| Wednesday |
8:00AM - 4:30 PM |
| Thursday |
9:00 AM - 5:30 PM |
| Friday |
8:00 AM - noon |
| Closed on Saturdays and Sundays |
Scheduling Appointments:
To schedule an appointment please contact our office.
* If there is an urgent need to reach Dr. Belote outside of normal
office hours, please call the office for instructions. Emergency
appointments are always accepted, but please call first before coming
to the office.
Forms and insurance:
Crossgates
Patient Information Form-
Please fill out this form to ensure that we know about necessary
personal information and history.
New Patient Registration
HIPPA Privacy
Form-
This form explains your privacy rights. Please sign and return.
Crossgates
Financial Policy Form-
Payment is expected on the day services are rendered unless other
financial arrangements are made in advance. We accept cash, checks,
MasterCard, Visa, American Express and Discover. We work with most
traditional insurance plans. If extensive treatment is being rendered,
we work with a local bank that provides a low interest payment plan.
Please inquire about this before the scheduled appointment.

Your
Dental Insurance Form-
Please read this information regarding your insurance coverage.
We do not want you to have to deal with any financial surprises.
After reading, sign and return.
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