NEW PATIENTS

NEW PATIENT PAPERWORK

For each new patient, please fill out your necessary forms prior to your first appointment by following the link below. We can also mail forms to you if you’d prefer. Please call our office to make arrangements. If you are unable to do so, please arrive 15 minutes prior to your appointment to fill out the necessary paperwork.

FILL OUT YOUR FORMS

Financial

Here at Arrowhead Family Dentistry, we highly appreciate the emotional and financial investment to proceed with comprehensive dentistry. During your consultation, our doctors and staff will review your treatment plan with you and provide a description of the proposed treatment. We will also discuss your investment prior to any treatment, along with several options for your convenience.We can help you maximize your benefits.

We accept most dental insurance programs used by major employers in our area. Our goal is to maximize your insurance benefits and make any remaining balance due easily affordable. We Accept: cash, checks, VISA, MasterCard and Discover.

Special financing options available with approved credit through Wells Fargo Bank, N.A. make it easy to get your treatment now and pay for it over time. Start enjoying the benefits of budget flexibility with the Wells Fargo Health Advantage credit card. Click the button below to apply! Or, you can also text “apply” to 49854 to apply through your smart phone!

APPLY FOR FINANCING

PRIVACY POLICY

We want to assure you that our practice is fully committed to complying with the Health Insurance Portability and Accountability Act (HIPAA) to safeguard your sensitive information.

What is HIPAA? HIPAA is a federal law that protects the privacy and security of your personal health information. As a HIPAA-compliant dental office, we adhere to strict standards to ensure the confidentiality and integrity of your data.

Our HIPAA Compliance Checklist:

Secure Patient Portals:
We provide a secure online portal for easy and confidential communication. Accessible only by authorized personnel, this portal allows you to conveniently access your records and communicate with our team.
Encryption Protocols: All electronic communication and data transmission, including emails and digital records, are encrypted to prevent unauthorized access.
Staff Training: Our team undergoes regular HIPAA training to stay updated on privacy regulations, ensuring they handle your information with the utmost care.
Physical Security: Your paper records and any physical documents are stored securely, with limited access only to authorized personnel.
Password Protection: Strict password policies are in place to protect electronic records, and access is restricted based on job responsibilities.
Audit Trails: We maintain detailed audit trails to monitor access to electronic health records, allowing us to track and investigate any potential security breaches.
Incident Response Plan: In the rare event of a data breach, we have a comprehensive incident response plan in place to address and rectify the situation promptly.

We understand the importance of trust in the patient-provider relationship. Rest assured that when you choose us, you are choosing a practice that prioritizes your privacy and complies with the highest standards of data protection. If you have any questions or concerns regarding our HIPAA compliance practices, please don't hesitate to contact us. Your peace of mind is our priority.