Patient Resources


Forms: You may need to fill out some or all of the forms listed below

Patient Waiver:
This form is only necessary if you are coming to my office for cancer reconstruction or for sleep apnea and your primary MEDICAL insurance is Medicare.

Medical History

Acknowledgement of receipt of notice of privacy practices

Notice of Privacy Practices

Your First Visit

• If you’ve been referred to us, we should have copies of your records or we will request them. The next step is an oral exam, a TMJ exam, and a head and neck cancer screening. Where important decisions on your health are concerned, we want to be sure we know exactly what the problem is before we begin treatment.

• At this point, one of three things will happen:
1.If no further treatment is necessary, you’re off and running.

2.If we can determine from our exam and your records what the problem is, we’ll discuss the options with you and set a course of action.

3.If we need more information or tests to determine the best treatment, we will gather these and schedule another appointment to discuss the choices with you.

• And finally, if you go home or back to work and find you have more questions, please don’t hesitate to call, email, or fax me. I not only want to help, I’m here to help.

Insurance
We are a fee for service office and do not belong to any preferred provider program. However, we do help you with your insurance by means of pre-authorization requests, letters if needed and phone calls as necessary. Ultimately, you are responsible for your account. We do not work with the Medicare/Medicaid program.

The multi disciplinary team

There are times when you would need to see other specialists in order to provide you with the best possible care. As specialists, we only perform the procedures that we are “best in town” at. Therefore, and depending on the complexity of your particular case, you may need to see other dental specialists such as endodontists, periodontists, orthodontists and oral and maxillofacial surgeons

Some interesting links


The American College of Prosthodontists:
http://www.prosthodontics.org/cf-dbm/includes/sectionentry-view.cfm?appname=consumers


The American Dental Association:
http://www.ada.org/public/index.asp


Oregon Health Science School of Dentistry:
http://www.ohsu.edu/sod/restorative/faculty_staff.html

 

3800 SW Cedar Hills Blvd, Suite 180, Beaverton, OR 97005
Telephone: 503.643.6607 - Fax: 503.526.8915 - E-mail: ambardstaff@live.com