Get Uw School Of Dentistry Decod Patient Registration Form

Filling out the UW School Of Dentistry DECOD Patient Registration Form is a crucial step in receiving dental care tailored to your needs. This guide provides clear instructions on how to complete the form online, ensuring a smooth and efficient registration process.

Follow the steps to successfully fill out the registration form online.

1. Click the ‘Get Form’ button to access the registration form and open it in your preferred online editor.
2. Begin with the Registration Form. Enter your correct phone number and street address to enable the clinic to contact you without issues.
3. Complete the Health Questionnaire carefully. Provide thorough answers to each question. If you are unsure about any information, consult with family members, caregivers, or medical personnel.
4. Fill out the History and Physical Examination (H&P) section, as this is required for your approval.
5. In the Consent for Routine Dental Treatment section, clearly print your name and provide a signature, ensuring that you understand the types of treatments that will be involved.
6. Read the Care Agreement carefully before signing. This document outlines that you will be receiving care from both students and faculty in a teaching environment.
7. Acknowledge the Notice of Privacy Practices. This section describes how your dental and medical information may be used or disclosed.
8. Complete the Financial Agreement/Authorization section. Be aware that not all comprehensive dental treatments for adults may be covered. It is crucial to understand this aspect prior to signing.
9. Review all completed forms for accuracy. An incomplete application can delay your acceptance into the DECOD program.
10. Once you have filled out all sections and signed where needed, save your changes. Download a copy or print the completed form if needed, before sharing it as per the instructions.

Complete your UW School Of Dentistry DECOD Patient Registration Form online today to ensure your dental care needs are met.