HIPAA, Forms & Insurance

Download and read a copy of Cregar Dental’s HIPAA Notice of Private Practices. Understand your privacy rights.


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Patient Health Form
Download Cregar Dental’s Patient health form. Fill it out at home and submit it before your next office visit.


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Patient Authorization Form
Download our Patient Authorization Form. Fill out the form and submit it before you come in to save time.


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What we will need from you when you come in.

You will need to fill out a HIPAA (Health Insurance Portability and Accountability Act) form and a Patient form for your office visit.

Patient Forms.

All patients must fill out a set of health forms for our office. These are to help the doctor with any health issues you may have.

What is HIPAA?

HIPAA is the acronym for the Health Insurance Portability and Accountability Act that was passed by Congress in 1996. It is a form that protects your private health information and the people who handle it.


Protection & Confidential Handling of your Health Informations. The HIPAA Privacy regulations require health care providers and organizations, as well as their business associates, develop and follow procedures that ensure the confidentiality and security of protected health information (PHI) when it is transferred, received, handled, or shared. 

This applies to all forms of PHI, including paper, oral, and electronic, etc.  Furthermore, only the minimum health information necessary to conduct business is to be used or shared.

How to use the forms.

We’ve created a set of forms in .PDF format that you can download from our site, file them out and submit them to us of bring them with you on your next visit.


To find out what types of insurances are covered by Cregar Dental please call our office manager and have your insurance information ready at the time.

Out of Network.

Cregar Dental is an Out Of Network (OON) office that will work with patients on a per needs basis over coverage and financial matters.

We do not negotiate our services and fees with insurance networks, this is about patients not numbers.

To put it in simple terms: you pay our office at the time of your visit. We submit the paperwork to your insurance company. Once your insurance approves the service they will issue you a reimbursement.

Credit Care.

One of the easiest and more flexible health care coverages available to people that do not have or cannot afford a health plan through work.
Care Credit