Forms & Policies

Nov 11, 2018
Health Library

Welcome to Furstenberg Michael Dr - Your Trusted Dental Services Provider

At Furstenberg Michael Dr, we understand the importance of providing exceptional dental services in a comfortable and friendly environment. As a leading dental practice in the Health - Dentist and Dental Services category, we are committed to promoting oral health and helping you achieve a beautiful smile. Our Forms & Policies section aims to offer you convenience and transparency by providing access to a wide range of essential forms and our practice policies.

Comprehensive Range of Forms

As part of our commitment to excellence, we provide a comprehensive range of forms to help streamline your dental visits. Whether you are a new patient or a returning one, our forms are designed to gather the necessary information to ensure efficient and personalized care. Our forms include:

New Patient Forms

  • Personal and contact information
  • Medical history and current medications
  • Dental insurance details
  • Patient consent forms

Consent and Authorization Forms

  • Treatment consent forms
  • X-ray and imaging consent forms
  • Release of information authorization forms

Financial and Insurance Forms

  • Dental insurance verification forms
  • Payment authorization forms
  • Flexible spending account forms

Transparent Practice Policies

Our practice policies are designed to provide clarity and enhance your overall dental experience. These policies outline important guidelines and procedures, ensuring transparency and mutual understanding. Our policies include:

Appointment Cancellation and Rescheduling Policy

Our appointment cancellation and rescheduling policy aims to accommodate the needs of all patients while maintaining an efficient schedule. We request that you provide us with at least 24 hours' notice if you need to cancel or reschedule your appointment.

Payment and Insurance Policy

Our payment and insurance policy outlines the accepted payment methods and details our approach to dental insurance. We strive to make the payment process as convenient as possible and work with various insurance providers to maximize your coverage.

Privacy and Confidentiality Policy

Protecting your privacy and confidentiality is of utmost importance to us. Our privacy and confidentiality policy adhere to all legal and ethical obligations, ensuring that your personal information remains secure and protected.

Contact Furstenberg Michael Dr Today

For any questions, clarifications, or assistance regarding our forms and policies, don't hesitate to contact our dedicated team of dental professionals. We are here to ensure that your dental journey with Furstenberg Michael Dr is smooth and stress-free.

Discover the difference of personalized and exceptional dental care. Schedule your next appointment with Furstenberg Michael Dr and experience dental services that prioritize your comfort and oral health.

Cyndy Schroter
The best dental experience!
Nov 11, 2023
Patti Parks
Great dental services! 👍 The forms and policies section is super helpful. 📝
Nov 8, 2023