Get Aspen Dental Patient Authorization for Release of Health Records to External Parties

The Aspen Dental Executive Team is rated an "A+" and led by CEO Bob Fontana. Aspen Dental employees rate their Executive Team in the Top 5% of similar size companies on Comparably with 5,001-10,000 Employees.

We accept cash, personal checks, Visa®, Master Card®, American Express®, Discover®, assigned insurance benefits, and select third-party financing programs.

Refunds are not offered lightly and not before all avenues to rectify the situation have been made. This is because your prosthetist's professional reputation is at stake. Therefore, he or she will go to great lengths to ensure you are satisfied with your new denture.

A HIPAA-compliant HIPAA release form must, at the very least, contain the following information: A description of the information that will be used/disclosed. The purpose for which the information will be disclosed. The name of the person or entity to whom the information will be disclosed.

1:05 2:54 HIPAA Release Form Instructions - YouTube YouTube Start of suggested clip End of suggested clip But you can name additional people in there as well. Starting at the top you will want to clearlyMoreBut you can name additional people in there as well. Starting at the top you will want to clearly print your full name in the space provided. Along with your address. And social security number.

A blanket release permits any use of the photographic image of the person signing the release and is suitable if the company or photographer needs an unlimited right to use the image. Stock photographers who sell their photos for unlimited purposes commonly use blanket releases.

If you're not happy with your dentures, we'll make them right, or your money back. Our Denture Money Back Guarantee applies to all full and partial dentures and covers the cost of the denture(s) only. The refund request must be submitted within 90 days after insert of final denture or hard reline.

New Patients - 7 Days of Inactivity: If you are a new patient who hasn't had any treatment performed, has no scheduled appointments, and has a credit balance on your account, you will automatically receive, after 7 days of inactivity, either (a) a notice that you are entitled to a refund if you paid by cash or check, ...