Cottonwood Endodontics
  • Patient Information
    • First Visit
    • Patient Registration
    • Financial Policy
    • Insurance >
      • Dental Benefits
    • Patient Instructions >
      • Endodontic Therapy Patient Instructions After Treatment
      • Endodontic Microsurgery Patient Instructions After Treatment
      • Instructions Prior Endodontic Therapy Under IV Sedation
      • Instructions Prior to Microsurgery Under IV Sedation
    • Privacy Policy
    • Contact Us
  • About Us
    • Dr. Roger K. Warren D.D.S.
    • Dr. Leslie F. Walker D.M.D.
  • Endodontic Procedures
    • Root Canal Therapy
    • Endodontic Retreatment
    • Endodontic Microsurgery (Apicoectomy)
    • Cracked Teeth
    • Traumatic Injuries
  • Advanced Technologies
  • Patient Comfort
  • To Our Colleagues

Patient Privacy Policy

The privacy of your personal information is extremely important to us. Please read our HIPAA Notice of Privacy Practices for more information on how your personal information is protected by our practice.

Click Here to Read This Notice

HIPPA Authorization Form 

HIPPA Privacy Authorization Form--authorization for use or disclose Protected Health Information. 
Click Here to Download

Technical Note

The patient registration form is a PDF file.  You need Adobe Acrobat Reader to view our form. Please download the free Acrobat Reader from Adobe's ™ website if it is not already installed on your system.
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  • Patient Information
    • First Visit
    • Patient Registration
    • Financial Policy
    • Insurance >
      • Dental Benefits
    • Patient Instructions >
      • Endodontic Therapy Patient Instructions After Treatment
      • Endodontic Microsurgery Patient Instructions After Treatment
      • Instructions Prior Endodontic Therapy Under IV Sedation
      • Instructions Prior to Microsurgery Under IV Sedation
    • Privacy Policy
    • Contact Us
  • About Us
    • Dr. Roger K. Warren D.D.S.
    • Dr. Leslie F. Walker D.M.D.
  • Endodontic Procedures
    • Root Canal Therapy
    • Endodontic Retreatment
    • Endodontic Microsurgery (Apicoectomy)
    • Cracked Teeth
    • Traumatic Injuries
  • Advanced Technologies
  • Patient Comfort
  • To Our Colleagues