All new patients must fill out these forms (includes registration form, medical history, financial & privacy forms). Your answers to these questions are confidential and for our records only. During your initial visit, we may have questions concerning your health and are happy to discuss our financial policies.
We are commited to providing you with the best possible care and we are pleased to discuss our professional fees with you. Your clear understanding of our Financial Policy is important to our professional relationship. Thank you for choosing us as your dental provider.
This is an acknowledgement that you (our patient) have read and understand the Office of Dr. Sargent and Dr. Markham's privacy practices. This notice describes certain restrictions on the use and disclosure of your protected healthcare information, rights that you may have regarding my protected healthcare information, and how this dental office and the staff may use and disclose my protected healthcare information.