care. Patient Responsibilities Become familiar with the Patient Bill of Rights in order to establish an even and balanced • doctor/patient relationship. Successful relationships demand that each party recognizes and respects the needs of the • other. Be respectful of dental personnel, other patients, facility property, and any specialists involved • in your care. Make arrangements for the care of your small children or dependent adults during your dental • appointments. If accompanying a minor, remain in the dental office until treatment is complete unless • previous arrangements have been made with Dr. Mowery. Arrive on time for a scheduled appointment and be able to stay for the duration of the • appointment, or give a 48-hour notice for a change in appointment. Keeping in mind that a failure to keep a scheduled appointment may result in a severed • relationship between the patient and dental facility. If you must cancel an appointment, make sure you reschedule accordingly in a timely manner. Provide accurate and complete information about your health, including medications and past • or present medical problems, which can affect your dental health. Report any changes in health status. • Provide current information regarding your dental insurance. • Follow treatment recommendations given by your dental care provider after reasonable • treatment options are presented. Notify a provider if you do not understand information about your care or treatment. • Inform your provider if you are not satisfied with any aspect of your care. • Provide payment on the day treatment is rendered, or pay promptly all fees for treatment you • have received once insurance has paid their portion.
care. Patient Responsibilities • Become familiar with the Patient Bill of Rights in order to establish an even and balanced doctor/patient relationship. • Successful relationships demand that each party recognizes and respects the needs of the other. • Be respectful of dental personnel, other patients, facility property, and any specialists involved in your care. • Make arrangements for the care of your small children or dependent adults during your dental appointments. • If accompanying a minor, remain in the dental office until treatment is complete unless previous arrangements have been made with Dr. Mowery. • Arrive on time for a scheduled appointment and be able to stay for the duration of the appointment, or give a 48-hour notice for a change in appointment. • Keeping in mind that a failure to keep a scheduled appointment may result in a severed relationship between the patient and dental facility. If you must cancel an appointment, make sure you reschedule accordingly in a timely manner. • Provide accurate and complete information about your health, including medications and past or present medical problems, which can affect your dental health. • Report any changes in health status. • Provide current information regarding your dental insurance. • Follow treatment recommendations given by your dental care provider after reasonable treatment options are presented. • Notify a provider if you do not understand information about your care or treatment. • Inform your provider if you are not satisfied with any aspect of your care. • Provide payment on the day treatment is rendered, or pay promptly all fees for treatment you have received once insurance has paid their portion.
Patient_Bill_of_Rights.docx