Authorization to release dental records

In order to better treat you, we kindly ask that you authorize a release of your previous dental records. Please download and sign or release form here:

Health history form

As required by law, our office adheres to written policies and procedures to protect the privacy of information about you that we create, receive or maintain. Your answers are for our records only and will be kept confidential subject to applicable laws. Please note that you will be asked some questions about your responses to the attached questionnaire and there may be additional questions concerning your health. This information is vital to allow us to provide appropriate care for you. This office does not use this information to discriminate.

Please download and complete the Health History Form here:

NOTICE OF PRIVACY PRACTICES

This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully. The privacy of your health information is important to us.

MISSED APPOINTmENTS POLICY

Please review and sign our missed appoinment policy here:

Dental Sleep Questionnaire

Please review and sign our Dental Sleep Questionnaire here:

We accept most insurance plans

At Buehler Family Dental, we accept most insurance plans. The following are our main participants:

Aetna
Delta Dental
Cigna
Guardian
Blue Cross
Principal
MetLife

For all other insurance providers, please inquire within to confirm other participants.

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