Tindaledental.com.au

Dr Emma Bond
Dr Justin Currie
& Associates
History:
1. Are you short of breath when lying down? ALL INFORMATION SUPPLIED IS FOR USE ONLY IN
REGARD TO DENTAL TREATMENT AND IS CONFIDENTIAL
3. Have you been a patient in a hospital in the last 2 years? 4. Have you consulted your doctor about any illness in the last 2 years?   5. Have you ever had excessive bleeding requiring special treatment? 7. Could you be a potential Hepatitis/HIV Carrier? 9. Do you take any medication? (drugs, tablets) .   10. Do you take/have taken Bisphosphonates (eg. Fosamax, Actonel) Do you have or have you ever had:
ARE YOU A MEMBER OF A HEALTH FUND FOR DENTAL? Have you ever had any serious illness? .
PLEASE REFER OVER FOR OUR INFORMATION HANDLING PROCEDURES
ur staff are
ent regarding your dental
ed and involved in their dental care.
f of this practice and are protected by a il be required to release the details of your file ple in the absence of your usual dentist, by other ents of running a dental practice. O
f is well versed in the principles and importance of ent, the dentist(s) and staf of the practice, recognise the itted to providing quality dental care for its patients. As a m itm ay also be necessary for our staf to handle your file from ents as a condition of em
ent to providing quality dental care it is necessary for us to m Your paper records are kept in secure filing cabinets and accessible only hether your consent to the disclosure of the inform ental Surgery is, as a dental provider in the private sector, bound by the N il not release the contents of your dental file w ade during the course of dental consultations; requires disclosure, such as pursuant to a subpoena.
ation held about you is provided by you or arises as a consequence of inform ental Surgery is com ental part of this com e advise that we will make our best endeavour to address complaints within 60 days otes m eferrals to other dental service providers; esults and reports received from Personal details (your nam Your dental history; N R R dental record we advise that strict secure storage policies are observed in this practice. portance of ensuring that our patients are fuly inform e advise that as a patient of this practice you have the rights of access to any information The Tindale D Privacy Principles. These principles set the standards by w colected from As a part of our com files pertaining to your dental health. The files contain the folow • • • • • Your dental file is handled w your dentist, and w dentists in the practice. It m tim bound by strict requirem records.
O advise that there m irrespective of w w As part of our commitment to preserving the confidentiality of the information contained in your Your electronic records are accessible only by staf security password. by practice staf dentist – patient confidentiality Should you, at any time, have a query or complaint in relation to the privacy policies in place at this practice please contact Dr Currie who will be happy to address any concerns you may have. W of receipt of your complaint.

Source: http://www.tindaledental.com.au/wp-content/uploads/Tindale_Patient_Info_Sheet.pdf

ag.udel.edu

Lyme Disease in Horses Lyme disease is caused by the bacterial spirochete: Borrelia burgdoferi. Lyme disease is transmitted by ticks. Lyme disease was first diagnosed in man in 1975 in Lyme Connecticut, thus the name Lyme disease. Medical scientists however, in retrospectively reviewing the medical literature recognized Lyme disease symptoms being reported by European physicians in the la

education.state.nj.us

Dear Colleague, As the school year gets under way, we would like to thank you for all of the efforts that you and your staff are making to ensure a healthy nutrition environment in schools. Your ongoing efforts to implement theare enhancing the health and nutrition of our nation’s children in schools across the country. We would also like to take this opportunity to brief you on another critica

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