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.