Although dental personnel primarily treat the area in and around your mouth, your mouth is a part of your entire body. Health problems that you may have, or medication that you may be taking, could have an important interrelationship with the dentistry you will receive. Thank you for answering the following questions.
To the best of my knowledge, the questions on this form have been accurately answered. I understand that providing incorrect information can be dangerous to my (or patient's) health. It is my responsibility to inform the dental office of any changes in medical status.
DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.
Please initial by the proposed and accepted treatment:
I understand that antibiotics, analgesics and other medications that I may be prescribed can cause allergic reactions, including but not limited to redness and swelling of tissues, pain, itching, vomiting and/or anaphylactic shock death, a severe allergic reaction. I also understand that these medications interfere with the effectiveness of contraceptives.
I understand that during treatment it may be necessary to change or add procedures that were not discovered during my examination. For example, if complications arise after a routine restorative procedure, root canal therapy may be necessary. I give my permission to the dentist to make changes and/or additions as necessary, upon oral or written explanation to me.
I understand that procedures such as root canal therapy, placement of crowns and periodontal surgery, may be options for treatment. However, I believe removing the infected tooth is the best option and I authorize the dentist to remove the tooth listed below. I understand that removing a tooth does not always remove all infection, if present, and it may be necessary to have further treatment. The risks involved in having a tooth removed include, but are not limited to pain, swelling, spread of infection, dry socket, fractured jaw, or loss of sensation in the teeth, tongue and surrounding tissue (paresthesia). These risks can last for an indefinite period of time. I also understand that I may need further treatment by a specialist if complications arise during or following treatment and I responsible for additional specialist fees.
I understand that dentures may cause core spots, altered speech and difficulty when eating. I realize that receiving dentures immediately after extractions may be painful and may require considerable adjustment and several relines. A permanent reline, which is not included in the denture fee, will be necessary later.
I understand that the denture try‐in appointment gives me the opportunity to approve the cosmetic appearance of my dentures. I know it is my responsibility to look closely at the size, shape, color, fullness and arrangement of my dentures. I understand failure to keep any appointment may result in a poor fitting of my dentures. I realize that if I delay my appointment for more than 30 days, there will be additional charges to my account. Any changes made after my dentures are complete will result in an additional fee.
I realize there is no guarantee that root canal treatment will save my tooth, and that complications can occur from treatment, and that occasionally metal objects are cemented in the tooth or extend through the root, which does not necessarily affect the success of the treatment, I understand that occasionally additional surgical procedures may be necessary following root canal treatment (apicoectomy)
I understand that I have serious condition, causing gum and bone infection or loss and that it can lead to the loss of my teeth. Alternative treatment plans have been explained to me, including gum surgery, replacements and/or extractions. I understand that undertaking any dental procedures may have a future adverse effect on my periodontal condition.
I have read and understand the information above. I have received adequate information about proposed treatment: I understand the treatment, and all questions have been fully answered. I also understand that it is my responsibility to work with the administrative and clinical staff to establish and keep appointments to allow sufficient time for recommended procedures.
DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
We respect our legal obligation to keep health information that identifies you private. We are obligated by law to give you notice of our privacy practices. This Notice describes how we protect your health information and what rights you have regarding it.
The most common reason why we use or disclose your health information is for treatment, payment or health care operations. Examples of how we use or disclose information for treatment purposes are: setting up an appointment for you; examining your teeth; prescribing medications and faxing them to be filled; referring you to another doctor or clinic for other health care or services; or getting copies of your health information from another professional that you may have seen before us. Examples of how we use or disclose your health information for payment purposes are: asking you about your health or dental care plans, or other sources of payment; preparing and sending bills or claims; and collecting unpaid amounts (either ourselves or through a collection agency or attorney). "Health care operations" mean those administrative and managerial functions that we have to do in order to run our office. Examples of how we use or disclose your health information for health care operations are: financial or billing audits; internal quality assurance; personnel decisions; participation in managed care plans; defense of legal matters; business planning; and outside storage of our records.
We routinely use your health information inside our office for these purposes without any special permission. If we need to disclose your health information outside of our office for these reasons, we will ask you for special written permission.
In some limited situations, the law allows or requires us to use or disclose your health information without your permission. Not all of these situations will apply to us; some may never come up at our office at all. Such uses or disclosures are:
Unless you object, we will also share relevant information about your care with your family or friends who are helping you with your dental care.
We may call or write to remind you of scheduled appointments, or that it is time to make a routine appointment. We may also call or write to notify you of other treatments or services available at our office that might help you. Unless you tell us otherwise, we will mail you an appointment reminder on a post card, and/or leave you a reminder message on your home answering machine or with someone who answers your phone if you are not home.
We will not make any other uses or disclosures of your health information unless you sign a written "authorization form." The content of an "authorization form" is determined by federal law. Sometimes, we may initiate the authorization process if the use or disclosure is our idea. Sometimes, you may initiate the process if it's your idea for us to send your information to someone else. Typically, in this situation you will give us a properly completed authorization form, or you can use one of ours. If we initiate the process and ask you to sign an authorization form, you do not have to sign it. If you do not sign the authorization, we cannot make the use or disclosure. If you do sign one, you may revoke it at any time unless we have already acted in reliance upon it. Revocations must be in writing. Send them to the office contact person named at the beginning of this Notice.
The law gives you many rights regarding your health information. You can:
By law, we must abide by the terms of this Notice of Privacy Practices until we choose to change it. We reserve the right to change this notice at any time as allowed by law. If we change this Notice, the new privacy practices will apply to your health information that we already have as well as to such information that we may generate in the future. If we change our Notice of Privacy Practices, we will post the new notice in our office, have copies available in our office, and post it on our Web site.
If you think that we have not properly respected the privacy of your health information, you are free to complain to us or the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you if you make a complaint. If you want to complain to us, send a written complaint to the office contact person at the address, fax or E mail shown at the beginning of this Notice. If you prefer, you can discuss your complaint in person or by phone.
I have received the Notice of Privacy Practices and I have been provided an opportunity to review it.
want messages left on my machine or with person(s) concerning appointment scheduling, lab cases or billing.
Your information will be encrypted.