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.
New Patient Form
Welcome to All Stars Dental Practice. Thank you for trusting us with your dental care. We promise to do our best to provide you with the finest dental care available. If you have any questions, please contact us.
Medical & Dental History Form
Please take a moment to let us know about your medical and dental history so we may serve you more effectively and in a way that watches out for your overall health and well-being. This information is vital to provide appropriate care for you.
Notice Privacy Acknowledgement Form
This form is used to obtain acknowledgement of receipt of our Notice of Privacy Practices or to document our good faith effort to obtain that acknowledgement. By signing the form, you acknowledge receipt.