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| We gladly accept and appreciate new patients. We have been fortunate in that a great number of our referrals come from other patients, or other dentists and health practitioners. We have always welcomed children as well as adults, and we can usually accommodate patients with a wide variety of special needs. |  |
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| When planning your first visit to our office, you may want to take advantage of any or all of these downloadable documents: | |
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| - Health History Form | |
| New patients need to fill out a confidential health history form. To save time, print and fill out this form in the privacy of your home; then bring it with you to your appointment. | |
| - Registration Form | |
| The Registration Form is filled out by all new patients and contains general patient data such as name, birthdate, and insurance provider. You can print and fill out this form ahead of time and bring it along to your appointment. | |
| - Insurance Information | |
| Dental insurance can be confusing! Our informational sheet should answer many of your questions. | |
| - How to Find Us | |
| Print out directions to our office, along with a map. We're easy to find. | |
| A Note About HIPPA: | |
| By now everyone has encountered many forms relating to the "HIPPA" laws-they're everywhere you go these days.
The Federal and State governments require lots of fine print in the "Notice of Privacy Practices" which is posted in our reception area (copies available at the reception desk). We can sum it up much more simply: We have never, and will never, share or release any information about you to anyone else without your permission, or as required by legal subpoena. Period. We do ask your written permission to send information to your insurance carrier specifically related to pre-estimate of dental benefits, or for claims following treatment. When you come to the office, we will have the Federal and State HIPPA Privacy forms for your review, and ask you to acknowledge that you have seen them. We will ask your permission to send information to your insurance carrier specifically related to pre-estimate of dental benefits, or for claims following treatment. We will try to answer any questions you might have about our Privacy Practices, and the HIPPA laws that drive them. |
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| 13780 W. Greenfield Ave. Ste. 780 · Brookfield, WI 53005 · (262) 782-4860 · fax (262) 782-7720 |
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