Patient Resources

Financial Information

We will work with you to help create a financial plan that meets your family’s unique needs and budget. We ask that you remember that payment is due on the day of service. Our office accepts payment in the forms of:

  • Cash
  • Check
  • Visa
  • MasterCard
  • Discover
  • CareCredit

CareCredit is a third-party company that provides affordable low- and no-interest financing plans. You can apply for CareCredit either online at their website or at our office with the help of our friendly staff. For more information on your financial options at Africa on Main in Collinsville, please call or visit us soon. With our knowledge, experience, and care, we promise to answer your questions as well as help your family achieve radiant smiles and optimal oral health through comprehensive dentistry!


Patient Forms

At Africa on Main in Collinsville, we want to help you feel completely comfortable and prepared for your visit with Dr. Hereford. To help you, we have provided our patient forms online for you to download. Just print out and complete the forms before your appointment, and don’t forget to bring the forms when you visit! If you have any questions about these forms, please don’t hesitate to call us.