Your First Visit With Us
Your initial appointment with us customarily consists of a medical history review, a cleaning, an examination, a review of your treatment needs if any, and options for treatment. Occasionally, treatment can be done or started the same day as your first visit when time permits.
Pahlavani Dental is a paperless office. Before your appointment, we will send you a link to complete the necessary medical forms in advance. This way, we can spend more time focusing on your dental needs. If you need any assistance, please let us know in advance via call or text.
Appointment reminders are automated via text, e-mail, and/or voice calls. The standard rates and/or text messaging fees may apply from your cellular provider. As always, you have the option to opt-out.
Your insurance company will not guarantee any payment amount until a claim has been filed. The co-payment and/or deductible requested at the time of services is estimated from the information given to us by your insurance plan. We are not held responsible for any incorrect information given to us by your insurance provider.
If we file to your insurance, your co-payment and/or deductible is due at the time of services. If you do not wish to submit to insurance at the time of service, you will be considered a self-paying patient, and all fees will need to be paid in full at the time of Service.
We ask that you give the office forty-eight (48) hour notice if you are unable to make your scheduled appointment. Charges may apply for repeat offenders.
Notice of Privacy Practices
Our Promise to You and Our Legal Obligations
The privacy of your health information is important to us. We understand that your health information is personal and we are committed to protecting it. This Notice describes how we may use and disclose your protected health information to carry out treatment, payment, or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and controls your protected health information. Protected health information is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.
We are required by law to:
• Maintain the privacy of your protected health information.
• Give you this Notice of our legal duties and privacy practice with respect to that information.
• Abide by the terms of our Notice that is currently in effect.