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Home > Patient Policies

Patient Policies

Please click below to review our patient policies that we have in place across Children’s Dental Surgery locations.

Notice of Privacy Practices
Non-Discrimination Statement
Good Faith Estimate
Protections Against Surprise Medical Bills
Acknowledgment of Receipt of HIPAA Privacy Practices
HIPAA Authorization for Release of Health Information
Website Privacy Policy
Privacy Forms (Spanish)

If you need any of the forms in an additional language, please contact your local office.

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