ࡱ> npm'` bjbj } zzzzzzz    <R 'z  YYY8':':':':':':'$(h +r^'z*7"Y**^'zz s'* z z 8'*8'$|zzl& n PḲ\ 4p%8''0'%+N+$l&+zl&YvT#DgYYY^'^' YYY'****2 2 zzzzzz INFORMATION SHEET GIVE KIDS A SMILE DAY FRIDAY, March 12, 2010 and/or SATURDAY, March 13, 2010 Yes, my office will participate: _____ (Please Complete Sheet for EACH dentist) Doctors Name: ___________________________________________________________ Office Contact Person:_________________________________ _____________________ Address: _________________________________________________________________ City: ______________________________State: _____________ Zip: _______________ Phone: ______________ Fax: ______________ E-Mail: __________________________ A. I would like to participate: Both Days___________ Friday, March 12 _________ Saturday, March 13_________ Alternate Date _____________ (Give Date) B. I would like to participate between __________ a.m. and __________p.m. C. I will have _________# Hygienists participating. Patient scheduling: (please check your preference) For Dentist: 1 Patient Every - 30 minutes: ____ 45 minutes: ____ 1 hour: ____ For Each Hygienist: 1 Patient Every - 30 minutes: ____ 45 minutes: ____ 1 hour: ____ D. Do you want to schedule a lunch break? _____ Yes _____ No If yes, please give time for break: ___________________ (ex. 11:00-11:30) Will the lunch break be the same for dentists and hygienists? _____ Yes _____ No E. Would you like to double-book your first 2 appointments to guard against no-shows? Yes: _______ No:_______. F. Do you want a dental assistant or hygiene student from OTC to be in your reception area to provide preventive instructions to children and parents/guardians? Y______ N______ Listed below are the guidelines that will define your treatment: 1. A parent or guardian MUST accompany each child. 2. A consent form MUST accompany each child. 3. Basically, you will be asked to perform cleanings, sealants, fillings, and or extractions. We dont expect you to do multiple appointment procedures. 4. For your information, you are free of liability when you are donating your services. 5. HIPAA Compliance does not apply when working through a government entity. i.e. school system. Please return form to: Greater Springfield Dental Society 1717 E. 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