Patient Information Rights and Responsibilities
Please read our Notice of Privacy Practices, then print and sign our Acknowledgement form and bring it with you to our office. Federal law requires us to give our patients this notice regarding our privacy practices. If you have questions, please call us at: Cary Oral Surgery & Dental Implants Office Phone Number 919-567-3293.
Notice of Privacy Practices
We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information.
Acknowledgement of Receipt of Notice of Privacy Practices
This form is used to acknowledge your receipt of our Notice of Privacy Practices, as well as to note your preferences for communication during treatments and follow up.
These notices are in PDF format, which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.