Documentation - School of Dental Medicine - University of Pittsburgh - dental pitt 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by reviewing the Patient Bill of Rights and Responsibilities section. Ensure you understand your rights and responsibilities as a patient.
3. Fill out the Acknowledgement of Receipt of Privacy Practices. Enter your name in the designated field, confirming that you have received and understood the privacy practices.
4. Complete the Consent to Initial Examination form. Authorize any necessary diagnostic procedures by signing where indicated.
5. Review and sign the Continuity of Care Policy, ensuring you understand the implications of missed appointments.
6. If applicable, complete the Informed Consent Policy, acknowledging your understanding of treatment options and associated risks.
7. Finally, ensure all fields are filled accurately before saving or submitting your completed document for processing.

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