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:


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.


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:

Delta Dental
Blue Cross

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

COVID-19 Notice

In response to the most recent recommendations issued by the American Dental Association (ADA), Buehler Family Dental will operate on an EMERGENCY basis only until further notice.

If you are experiencing a true dental emergency and are in need of our help, please call the office at 717-656-0005.We will continue to follow the recommendations of the American Dental Association (ADA), Centers for Disease Control and Prevention (CDC), and federal and local government agencies who are working diligently to monitor the current COVID-19 coronavirus outbreak.

Working together with the safety of our team and our patients as our first priority, we hope to be able to resume needed care as soon as possible.Thank you for your continued patience and understanding during this challenging time.

Your health is important to us and we continue to strive to provide for the oral health care needs of our community.

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