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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 Health locations.

  • Notice of Privacy Practices
  • Non-Discrimination Statement
  • Good Faith Estimate
  • Acknowledgment of Receipt of HIPAA Privacy Practices
  • HIPAA Authorization for Release of Health Information
  • Privacy Forms (Spanish)
  • Patient Privacy (continued)

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

Our Locations

Pennsylvania

  • Aston
  • Bensalem
  • Bethlehem
  • Downingtown
  • Easton
  • Exton
  • Harrisburg
  • Lancaster
  • Limerick
  • Mechanicsburg
  • Northeast Philadelphia
  • Philadelphia- Allegheny Ave
  • Plymouth Meeting
  • Springfield
  • Trexlertown
  • Warrington
  • West Grove
  • Wyomissing
  • York

Delaware

  • Wilmington
  • New Patients
  • Find a Location
  • Schedule an Appointment
  • Careers
  • Patient Policies
  • Oral Surgery Referrals

 

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