NOTICE OF PRIVACY PRACTICES

Patient Receipt of Privacy Practices and Financial Policy

Privacy and Financial Policies
Please download a copy of our privacy practices and financial policy, then fill out the form to indicate that you have received them.

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Acknowledgement of receipt of privacy practices*
- I have downloaded a copy of this office’s Notice of Privacy Practices.
- I have not downloaded a copy of this office’s Notice of Privacy Practices.
Acknowledgement of receipt of financial policy*
- I have downloaded a copy of this office’s financial policy.
- I have not downloaded a copy of this office’s financial policy.
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By typing your full name here, you are electronically signing this document.
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Slater Family Dental, located at 18540 SW Vincent St., Beaverton, Oregon 97078, is committed to protecting your privacy and ensuring the confidentiality of your personal health information.

Our Notice of Privacy Practices outlines how we may use and disclose your health information, as well as your rights regarding this information. We understand the importance of maintaining the privacy of our patient’s medical records and adhere to strict guidelines in handling this sensitive data.

At Slater Family Dental, we prioritize your trust and aim to provide transparent communication about our privacy practices. For any questions or concerns regarding our privacy policy, you can contact us. Don’t forget to visit our Facebook!

NOTICE OF PRIVACY PRACTICES

Patient Receipt of Privacy Practices and Financial Policy

Privacy and Financial Policies

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18540 SW Vincent St., Beaverton, Oregon 97078

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