Insured Patients

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All insured patients must present their current insurance card at the time of the visit. Co-payment and coinsurance amounts must be paid at the time of the appointment or the visit may be rescheduled. It is understood that insured patient have signed a contract with their insurance company and it is their responsibility to provide information to the Tamworth Dental Center about coverage and co-pay requirements. Our office will submit the claim to the insurance company; however, it is the patient’s responsibility to work directly with the insurance company regarding any denial of payment because of coverage issues, and to pay for the services not covered.

Non-insured

(self-pay) patients

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To consider you for a discount on your dental services we need an accurate accounting of your annual household income. If you have completed an application for Tri-County CAP’s Fuel Assistance Program within the past year, we can use that information to determine your household income. If not, you will need to provide accurate and complete proof of income to see if you qualify for a discount. Call the office (323-7645) for more information about the sliding fee scale.

Please Note: Sliding scale, discounted fees are not eligible for Payment Plans or 10% prompt pay discount. Certain dental services requiring lab work cannot be discounted as deeply as non-lab services.

You have the right to:

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• Receive considerate, respectful, and timely care at the Tamworth Dental Center.

• Receive an explanation of your diagnosis, treatment, and prognosis in terms you can understand.

• Receive the necessary information to participate in decisions about your care and to give your informed consent before any diagnostic or therapeutic procedure is performed.

• Expect that your personal privacy will be respected by all staff members at the Tamworth Dental Center.

• Expect that your medical records will be kept confidential and will be released only with your written consent, in cases of medical emergencies, or in response to court orders. (Confidentiality can be breached if the individual poses a significant threat of harm to self or others.)

• Ask and receive an explanation of any charges made by the Tamworth Dental Center, even if they are covered by insurance.

• Obtain another dental opinion prior to any procedure.

• Review and receive a copy of any dental records created and maintained by the Tamworth Dental Center regarding your care and treatment.

• Effective pain management and to be informed by staff about available measures.

• Care that takes into consideration your psychosocial, spiritual, and cultural values.

You are responsible for:

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• Providing accurate information about your past health and dental care history.

• Asking questions if you do not understand the explanation of your diagnosis, treatment, prognosis, or any instructions.

• Recognizing the effect of your lifestyle on your personal health.

• Providing the necessary information to complete your file and providing updates as information changes.

• Any charges billed to you.

• Following the rules and regulations posted by the Tamworth Dental Center and available in the Patient Handbook.

• Providing your practitioner with at least 72 hours notice when you or your family are in need of medications or a prescription.

• Arriving on time for your appointment.

• Calling at least 3 hours in advance of your appointment to cancel and/or reschedule.

Broken Appointments

(No-shows)

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The Tamworth Dental Center works hard to provide dental care to uninsured and underinsured patients. Our costs go up when patients do not show up for their scheduled appointments without giving us advance notice. If a patient is unable to keep a scheduled appointment, the Center must be notified in advance to cancel that appointment.

A no show is a missed appointment that is not canceled 3 hours before the originally scheduled appointment time. After the first no-show, the patient will receive a call from our office and a letter describing our policy: After a no-show, a re-scheduled appointment will be made. If the patient fails to keep this re-scheduled appointment, he/she may no longer be able to schedule future appointments. The patient may then only call the day on which they would like an appointment and may or may not be given an appointment that day based on need and availability. Keeping the re-scheduled appointment will return the patient to the status of scheduling appointments in advance.

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Directions

and Map

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