Patient Policy

Treatment of minors

If you are not able to accompany your child to his or her dental appointment, please make sure you have signed the following form granting HoHoKus Dental Associates permission to perform dental treatment on your child.

Additionally, we ask that a parent/legal guardian is available by phone during your child’s appointment and that you inform us in advance that you will not be present.

Please keep in mind that children under the age of 13 must be here with a responsible adult and the parent/legal guardian must have signed the form indicating who will be bringing the child to the appointment.

Treatment of Minors Consent Form

Consent for patients over age 18

Although all patients over the age of 18 are legal adults and permission for release of health information is required to protect their privacy, it has come to our attention that many of our young adult patients would like to have their parents involved with decisions regarding their treatment and/or finances.

If you would like to be notified of protected health information regarding your child, please have your child fill out the patient disclosure authorization form below.

Patient Disclosure Authorization Form

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