Your New Patient Experience

Your initial visit with one of our hygienists or one of our experienced doctors, we will spend time talking about any concerns you may have, and ways to improve your smile if desired.

We promise to spend the time to get to know you in a relaxed, friendly and personalized manner.

We take great pride in our dental work and only recommend what is needed. 

We look forward to meeting you and your family. 

Dentist Delta Dental Premier Eden Prairie Chanhassen BXBS Cigna Chi Derr

Appointment Request

New Patient Forms 

Before your first visit to our office, you can fill out the online forms below to save yourself some time:

***Please fill out all 3 forms- Registration, Medical, and records transfer (if applicable)

Online Registration
Print Patient Registration Form

Online Medical History

Print Patient Medical History Form   

Records/ X-ray Transfer


Dental Insurance

We do our best to help process and help you understand your insurance coverage. We accept many dental insurance plans and submit them electronically for you. 

We are an in-network provider for the following insurance plans:

  • Delta Dental Premier
  • CIGNA Dental Network Savings Program
  • Blue Cross Blue Shield of Minnesota or BCBS-MN
  • Health Partners Dental Open Access
  • If you have other questions about your insurance please call, we would be happy to help.



There is a same day savings for payment with cash or check

We accept payments from the following credit cards:

  • Visa
  • Mastercard
  • Discover
  • American Express

We also accept

Care Credit 

Frequently Asked Questions

Here are some frequently asked questions about our office:

Where is your office located?
Find out everything about our office on

Our Location Page.

How can I schedule an Appointment Online?
You can request an appointment time via our

Appointment Request Form.

Can I bring my children to your office?  Absolutely. We see children of all ages. For the first visit we will make the experience positive and cater to the child. Sometimes exams are best suited on the parents lap. Schedule a welcome visit and your child can start to view the dentist office as a relaxed and fun place to be.


Here are a few links to some tools that may help you:

American Dental Association

MN Dental Association

Minneapolis District Dental Society

Dr. Derr and Dr. Chi on Facebook follow us on Dentistedenprairie on Instagram

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