Get Dental Office Policies

Filling out the Dental Office Policies is an essential step in ensuring a smooth experience at your dental appointment. This guide will provide you with clear instructions on how to complete the form accurately and efficiently.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the Dental Office Policies form and open it in the editor.
2. Carefully read each statement provided in the form. Pay special attention to the policies highlighted with an asterisk (***), as these contain critical information regarding scheduling and payment.
3. Initial next to each statement after you read and understand the policies. This indicates your agreement to the terms outlined in that section.
4. In the scheduling policy section, ensure you understand the implications of arriving late and your responsibility for rescheduling if necessary.
5. If filling out the form on behalf of a child, complete the pediatric care section with the required information about the legal guardian or parent who will accompany the child.
6. Review the cancellation policy and make a note of the required notice period for cancellations or rescheduling.
7. Understand the estimation of dental benefits policy. Acknowledge that you are responsible for any charges that your insurance does not cover.
8. Read the photography policy carefully, as it pertains to the use of images taken during your appointment.
9. Make sure to acknowledge receipt of the Notice of Privacy Practices by initialing where indicated.
10. Fill out the release of benefits and information section, authorizing your insurance benefits to be directed to Woodinville Family and Cosmetic Dentistry.
11. Finalize your form by providing your signature and the date at the end of the document.
12. Once you have completed the form, you can save changes, download, print, or share it as needed.

Complete your Dental Office Policies online to streamline your upcoming appointment.