Pear Tree Dentistry knows oral diseases ranging from cavities to oral cancers cause pain and disability for millions of Americans. The impact of these diseases does not stop at the mouth and teethe. A growing body of evidence links oral health, particularly periodontal (gum) disease, to several chronic diseases, including diabetes, heart disease, and stroke. In pregnant women, poor oral health has also been associated with premature births and low birth weight. Oral health is an essential part or staying healthy; it allows a person to speak, smile, smell, taste, touch, chew, swallow, and make facial feelings and emotions. Many of these oral diseases may be prevented with regular dental care. Come see us. We care about you and your teeth.
To make even your first visit less stressful and more efficient, you can fill out your forms at home and bring them in with you.
Our goal is to provide comfortable and timely dental appointments in a clean and friendly environment. We want our 'waiting room' to be empty, because we strive to see our patients on time and often before the appointed time. We respect your time and think the promptness of our patient service and adherence to schedule is another aspect of our practice that sets us apart.
Purpose: This form, Notice of Privacy Practices, presents the information that federal law requires us to give our patients regarding our privacy practices.
We must provide this Notice to each patient beginning no later than the date of our first service delivery to the patient, including service delivered electronically, after April 14, 2003. We must make a good-faith attempt to obtain written acknowledgement of receipt of the Notice from the patient. We must also have the Notice available at the office for patients to request to take with them. We must post the Notice in our office in a clear and prominent location where it is reasonable to expect any patients seeking service from us to be able to read the Notice. Whenever the Notice is revised, we must make the Notice available upon request on or after the effective date of the revision in a manner consistent with the above instructions. Thereafter, we must distribute the Notice to each new patient at the time of service delivery and to any person requesting a Notice. We must also post the revised Notice in our office as discussed above.
© 2002 American Dental Association All Rights Reserved Reproduction and use of this form by dentists and their staff is permitted. Any other use, duplication or distribution of this form by any other party requires the prior written approval of the American Dental Association. This Form is educational only, does not constitute legal advice, and covers only federal, not state, law (August 14, 2002).
For directions to our office and office hours, see our Contact Us page.