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Patient Information

Patient Forms

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We are glad you have chosen our office for your dental care. For your convenience the our privacy policy forms are available to download prior to your appointment. You may request to have these policies provided to you in paper form. Thank you and we look forward to seeing you soon!

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It is the policy of the Dental Studio to not discriminate in the provision of services to an individual because the individual is unable to pay; because the payment for those services would be made under Medicare, Medicaid, or the Children’s Health Insurance Program; or against any individual on the basis of race, color, religion, ancestry, national origin, citizenship status, age, sex, marital status, genetic information, sexual orientation, gender expression, gender identity, non-disqualifying disability or veteran/military status in matters of admissions, employment, or services.  Discounts are available based on family size and income.                                                                                                                                                                 

 

All staff members are fully committed to function in accordance with all applicable federal, state and local laws regarding non-discrimination.

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