Privacy Acknowledgement

At the Lane Center for Advanced Dentistry, we respect your privacy and adhere to all applicable HIPPA privacy requirements.

Upon your first visit, we will supply you with a copy of our office’s privacy practices. Below is a downloadable receipt form for you to sign, providing consent for us to use your health information for treatment, insurance, and healthcare related activities.

Receipt of Notice of Privacy Practices

You may decline to sign this document if you wish.

If you have any questions or concerns, please call us at 724-836-4433, or get in touch using our easy contact form today.