Please download and fill-out our Financial Policy. After you have completed the form, please make sure to bring it on your first visit to our office. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
- Download Our Financial Policy
You need Adobe Acrobat Reader to view our form. Please download the free Acrobat Reader from Adobe’s web site if it is not already installed on your system.
This form, Notice of Privacy Practices, presents the information that federal law requires us to give our patients regarding our privacy practices.
This notice is a pdf document which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.
At Day Hill Dental, PC we make every effort to provide you with the finest care and the most convenient financial options. To accomplish this we work hand-in-hand with you to maximize your insurance reimbursement for covered procedures. If you have any problems or questions, please ask our staff. They are well informed and up-to-date. They can be reached by phone at 860-688-5595 .
Please call if you have any questions or concerns regarding your initial visit.
Please bring your insurance information with you so that we can expedite reimbursement.