All family dentist
[DOC File]Ken Copeland Family Dentistry
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Title: Ken Copeland Family Dentistry Author: Manager Last modified by: Dentrix Created Date: 10/4/2007 12:21:00 PM Company: Ken Copeland Family Dentistry
[DOCX File]MCM 603-16-05-013 - Leave Policy and Procedures (Robley ...
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Jul 01, 2016 · Dentist. Podiatrist. Optometrist. 4. 26 days per leave year. 86 days. ... or the overall limit of 12 weeks of sick leave each leave year for all family care purposes. b. An employee who voluntarily chooses to be absent from work to bond with or care for a healthy adopted child may . not.
[DOCX File]Brace Family Dentistry
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I understand the above information is necessary to provide me with dental care in a safe and efficient manner. I have answered all questions to the best of my knowledge. Should further information be needed, you have my permission to ask the respective health care provider or agency, who may release such information to you.
[DOC File]Pacific Family Dentistry
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This ESTIMATED portion is all we ask that you pay at the time of service. ... I understand that Pacific Family Dentistry employees cannot guarantee the amount of insurance benefit I may or may not receive from my insurance policy. I authorize payment to be made directly to Pacific Family Dentistry.
[DOCX File]Wauka Mountain Family Dentistry
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I hereby authorize and direct the dentist, Dr. Lora Savage and/or dental auxiliaries of her choice, to perform the following dental treatment or oral surgery procedure (s), including the use of any necessary or advisable local anesthesia, radiographs (x-rays), or diagnostic aids. ... Wauka Mountain Family Dentistry
[DOC File]SAMPLE AFH NEGOTIATED CARE PLAN - Washington State
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name & address of interested party (guardian, poa, family) home phone. work phone. name of physician or medical group. phone . fax . pharmacy name. phone . fax . name of dentist or dental group. phone . fax. advance directive yes no. if yes, specify type(s) legal documents yes no if yes, specify type(s) ...
[DOC File]Madsen and Placa Family Dentistry LLC
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Madsen and Placa Family Dentistry LLC. Attendance Policy. All Patients are expected to arrive at the mutually agreed appointment time. There will be a no show/cancellation fee assessed when an appointment is failed without 24 hours notice for weekday appointments and 48 hours notice for Saturday appointments of not less than $50.00.
[DOCX File]KIDS’ SMILE PROGRAM: FLUORIDE VARNISH PROTOCOL - …
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Jul 01, 2017 · Individuals who benefit the most from fluoride varnish include children, ages 0 through 5 years who have a family history of decay, low levels of fluoride in their drinking water or limited access to dental care. At the minimum, the fluoride varnish should be applied 2 times a year and those children who are at higher risk for decay may require ...
[DOCX File]10-144 Chapter 101
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Jul 01, 2014 · are all services provided by or under the supervision of a dentist in the practice of dentistry. Such services include treatment of the teeth and associated structures of the oral and maxillofacial regions, and of disease, injury, abnormality, or impairment that may affect the oral or general health of the individual.
[DOC File]CLINICS AND DENTAL SERVICES
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Comprehensive, family dental care. All ages. All dental insurances. Sliding fee discount. Accepting new patients! Katahdin Valley Health Center. Mailing address for both Sites: Contact Person: Katahdin Valley Health Center Barbara Legassey, Dental Practice Manager. P.O. Box 500 207-723-6565. Patten, Maine 04765 866-366-5842. Fax: 723-6564
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