Get Account Treatment Plan - Denton Optometry

Filling out the Account Treatment Plan for Denton Optometry online is an essential step in managing your healthcare preferences and ensuring proper communication about your treatment. This guide provides clear instructions to help you navigate each section of the form effortlessly.

Follow the steps to complete the form accurately and efficiently.

1. Click 'Get Form' button to obtain the form and open it in the designated editor.
2. Review the section regarding the acknowledgment of HIPAA Privacy Practices. You will need to mark whether you would like a copy of these practices by selecting 'YES' or 'NO'.
3. Identify individuals authorized to discuss your account or treatment plan. For each person, fill in their name, relationship to you, and phone number. Mark the relevant box for either account or treatment plan.
4. Indicate where you would like messages containing confidential information to be left by checking the relevant boxes and providing the necessary contact details for home, cell phone, work, e-mail, or other.
5. Provide your signature or the signature of your guardian, along with their relation to the patient in the appropriate fields.
6. Ensure Denton Optometry staff signature and date are included after completing your portion of the form.
7. Finally, review all entered information for accuracy. Once confirmed, you can save the changes, download a copy of the form, or print it for your records.

Complete your Account Treatment Plan online today to ensure your treatment preferences are accurately documented.