Thank you for visiting the website of
Hatfield Dental Clinic. Our website provides important information that
will help you become familiar with our practice. It also contains answers
to frequently asked questions. Please feel free to call us anytime. We
appreciate this opportunity to introduce ourselves and look forward to
providing you with quality dental care.
We want you to know that in our office you
can expect to be treated with respect at all times. We strive to deliver
the best diagnosis and treatment that dentistry has to offer. We believe
that these goals can be met through a continuous and open dialogue between
you and our entire team.
We encourage you to involve yourself in your
own treatment and ask questions throughout our relationship. In our
opinion, an informed and involved patient is most likely to achieve the
highest level of healthcare, and we look forward to working with you to
achieve this goal.
Please be sure to bring the following information to your visit:
- A valid dental insurance card.
- Insurance co-payment and/or deductible
will be collected at time of visit.**
** While we will verify
that you have insurance coverage, we can’t know the details of each and
every insurance policy. Be sure you are familiar with services and
procedures that are/are not covered.
Please allow adequate time to arrive for your appointment. We recommend
you arrive 10 to 15 minutes early and check in to complete any needed
paperwork. For the benefit of all our patients, our doctors feel it is
important to stay ON SCHEDULE. Please be advised that if you are LATE for
your appointment, you may be asked to reschedule for a later date. If you
must cancel your appointment, we require at least one business day notice to
cancel or you may be charged a $35.00 “No-Show” fee. Please review our
Please alert our office if you have a medical condition that may be of
concern (i.e., diabetes, high blood pressure, artificial heart valves and
joints, rheumatic fever, etc.) or if you are on any medication (i.e., heart
medications, aspirin, anticoagulant therapy, etc.).
If you have x-rays from a previous dentist or physician, you may request
that they forward them to our office. If there is not enough time, please
pick them up and bring them to our office, or if they are digital x-rays,
have them e-mail them to
We look forward to meeting you. Please feel free to contact our office
at 979-968-5813 should you have any questions.
Hatfield Dental Clinic is open Monday through Thursday from 8:00am until
5pm. We will schedule your appointment as promptly as possible. If you
have pain or an emergency situation, every attempt will be made to see you
We try our best to stay on schedule to minimize your waiting. Due to the
fact that Hatfield Dental Clinic provides many types of dental services;
various circumstances may lengthen the time allocated for a procedure.
Emergency cases can also arise and cause delays. We appreciate your
understanding and patience.
Please call 979-968-5813 with any questions or to schedule an
Please refer to our
Financial Policy page.
You, as the patient, are
responsible for all charges regardless of insurance coverage. As a courtesy, we
are happy to file claims with your insurance company for services rendered.
Your deductible, co-payment, and/or co-insurance are due at the time of
service. Any balance left on the account after insurance payment is received is
the responsibility of the patient or financial guarantor. After 30 days, you
will receive a statement for the balance on your account and it may show over 30
days past due because we were waiting on insurance payment.
INFECTION CONTROL PROGRAMS
You are interested, and deserve to know, the
extent of the infection control programs that are used in our office. Much
has been discussed in the public forum about the possibility of cross
contamination and of infectious diseases that might be transmitted from
patient to patient in the dental office. Are we concerned? You bet we are,
and that is why we think you should know what we have been doing for several
years, what we are doing at the present, and what we plan to do for the
As many disposable items as possible are used
in our office. Some of the various items are syringes, cups, patient bibs,
plastic light fixture covers, instrument trays, sterilization bags, gloves,
and masks. Care is taken before each patient is seated to thoroughly
disinfect all counter tops and other items that are stationary, and
non-disposable. The hand instruments we use are hand scrubbed, placed in an
ultrasonic cleaner, washed, dried, and then bagged and placed in our
autoclave. The autoclave heat sterilizes the instrument under intense
pressure. These instruments remain bagged until ready for use. Our
handpieces are hand cleaned, lubricated, dried, bagged, and autoclaved.
They remain bagged until they are ready for use.
We are continually looking at improved methods
and chemicals to keep this work place as safe as possible for both the
employees and our patients. As the new methods are found to be suitable, we
incorporate them into our program to improve what we feel is already a good
program. We have regular staff meetings at which we discuss situations that
may arise so that we are prepared to handle whatever comes our way. We will
be happy to discuss with you any concerns you might have. We hope you will
find your visit to our office pleasant and worthy of a return visit when
warranted. If we can be of service to any of your family and friends, we
would welcome the opportunity.
HOME CARE INSTRUCTIONS
After Cosmetic Reconstruction
Remember that it will take time to adjust to the feel of your new bite.
When the bite is altered or the position of the teeth is changed, it takes
several days for the brain to recognize the new position of your teeth or
their thickness. If you continue to detect any high spots or problems with
your bite, call our office so we can schedule an adjustment appointment.
It is normal to experience some hot and cold sensitivity. The teeth
require time to heal after removal of tooth structure and will be sensitive
in the interim. Your gums may also be sore for a few days. Warm salt water
rinses (one teaspoon of salt in a cup of warm water) three times a day will
reduce pain and swelling. A mild pain medication (one tablet of Tylenol or
ibuprofen (Motrin) every three to four hours) should ease any residual
Don’t be concerned if your speech is affected for the first few days.
You’ll quickly adapt and be speaking normally. You may notice increased
salivation. This is because your brain is responding to the new size and
shape of your teeth. This should subside to normal in about a week.
Daily brushing and flossing are a must for your new dental work. Daily
plaque removal is critical for the long-term success of your new teeth, as
are regular cleaning appointments.
Any food that can crack, chip, or damage a natural tooth can do the same
to your new teeth. Avoid hard foods and substances (such as beer nuts,
peanut brittle, ice, fingernails, pencils, and/or sticky candies).
Smoking will stain your new teeth. Minimize or avoid foods that stain such
as coffee, red wine, tea, and berries.
Adjusting to the look and feel of your new smile will take time. If you
have any problems or concerns, please let us know. We always welcome your
After Crown & Bridge Appointments
Crowns and bridges usually take two appointments to complete. In the
first visit, the teeth are prepared and molds of the mouth are taken.
Temporary crowns or bridges are placed to protect the teeth while the custom
restoration is being made. Since the teeth will be anesthetized, the
tongue, lips, and roof of the mouth may be numb. Please refrain from eating
and drinking hot beverages until the numbness has completely worn off.
Occasionally a temporary crown may come off. Call us if this happens and
bring the temporary crown with you so we can re-cement it. It is very
important for the temporary to stay in place, as it will prevent other teeth
from moving and compromising the fit of your final restoration.
To keep your temporary in place, avoid eating sticky foods (gum), hard
foods, and if possible, chew on the opposite side of your mouth. It is
important to brush normally, but floss carefully and don’t pull up on the
floss which may dislodge the temporary, but pull the floss out from the side
of the temporary crown.
It is normal to experience some temperature and pressure sensitivity
after each appointment. The sensitivity should
subside a few weeks after the placement of the final restoration. Mild pain
medications may also be used as directed by our office.
If you bite feels uneven, if you have persistent pain, or if you have any
other questions or concerns, please call our office at 979-968-5813.
After Tooth Extraction
After tooth extraction, it’s important for a blood clot to form to stop
the bleeding and begin the healing process. That’s why we ask you to bite
on a gauze pad for 30-45 minutes after the appointment. If the bleeding or
oozing still persists, place another gauze pad over the wound and bite
firmly for another 30 minutes. You may have to do this several times.
After the blood clot forms, it is important not to disturb or dislodge
the clot as it aids in healing. Do no rinse vigorously, suck on straws,
smoke, drink alcohol, or brush teeth next to the extraction site for 72
hours. These activities will dislodge or dissolve the clot and retard the
healing process. Limit vigorous exercise for the first 24 hours as this
will increase blood pressure and may cause more bleeding from the extraction
After the tooth is extracted you may feel some pain and experience some
swelling. An ice pack or an unopened bag of frozen peas or corn applied to
the area will keep swelling to a minimum. Take pain medications as
prescribed. The swelling usually subsides after 48 hours.
Use the pain medication as directed. Call the office if the medication
doesn’t seem to be working. If antibiotics are prescribed, continue to take
them for the indicated length of time, even if signs and symptoms of
infection are gone. Drink lots of fluids and eat nutritious soft food on
the day of the extraction. You can eat normally as soon as you are
It is important to resume your normal dental routine after 24 hours.
This should include brushing and flossing your teeth at least once a day.
This will speed healing and help keep your mouth fresh and clean.
After a few days you will feel fine and can resume your normal
activities. If you have heavy bleeding, severe pain, continued swelling for
two or three days, or a reaction to the medication, call our office
immediately at 979-968-5813.
After Composite (White) Fillings
When an anesthetic has been used, your lips and tongue may be numb for
several hours after the appointment. Avoid any chewing and hot beverages
until the numbness has completely worn off. It is very easy to bite or burn
your tongue or lips while you are numb.
It is normal to experience some hot, cold, and pressure sensitivity after
your appointment. Injection sites may also be sore. Ibuprofen (Motrin),
Tylenol or aspirin (one tablet every three to four hours as needed for pain)
work well to alleviate the tenderness. If pressure sensitivity persists
beyond a few days or if the sensitivity to hot or cold increases, contact
You may chew with your composite fillings as soon as the anesthetic
completely wears off. Composite fillings are fully set when you leave the
If your bite feels uneven, if you have persistent pain, or if you have
any other questions or concerns, please call our office at 979-968-5813.
NOTICE OF PRIVACY PRACTICES
HATFIELD DENTAL CLINIC, P.C.
110 N. Washington, La Grange,
THIS NOTICE DESCRIBES HOW MEDICAL
INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS
TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
respect our legal obligation to keep health information that identifies you
private. We are obligated by law to give you notice of our privacy
practices. This Notice describes how we protect your health information and
what rights you have regarding it.
PAYMENT, AND HEALTH CARE OPERATIONS – The most common reason why we use or
disclose your health information is for treatment, payment or health care
operations. Examples of how we use or disclose information for treatment
purposes are: setting up an appointment for you; examining your teeth;
prescribing medications and faxing them to be filled; referring you to
another doctor of clinic for other health care or services; or getting
copies of your health information from another professional that you may
have seen before us. Examples of how we use or disclose your health
information for payment purposes are: asking you about your health or
dental care plans, or other sources of payment; preparing and sending bills
or claims; and collecting unpaid amounts (either ourselves or through a
collection agency or attorney). “Health care operations” mean those
administrative and managerial functions that we have to do in order to run
our office. Examples of how we use or disclose your health information for
health care operations are: financial or billing audits; internal quality
assurance; personnel decisions; participation in managed care plans; defense
of legal matters; business planning; and outside storage of our records.
DISCLOSURES FOR OTHER REASONS WITHOUT PERMISSION – In some limited
situations, the law allows or requires us to use or disclose your health
information without your permission. Not all of these situations will apply
to us; some may never come up at our office at all. Such uses or
disclosures are: when a state or federal law mandates that certain health
information be reported for a specific purpose; for public health purposes,
such as contagious disease reporting, investigation or surveillance; and
notices to and from the federal Food and Drug Administration regarding drugs
or medical devices; disclosures to governmental authorities about victims of
suspected abuse, neglect or domestic violence; uses and disclosures for
health oversight activities, such as for the licensing of doctors; for
audits by Medicare or Medicaid; or for investigation of possible violations
of health care laws; disclosures for judicial and administrative
proceedings, such as in response to subpoenas or orders of courts or
administrative agencies; disclosures for law enforcement purposes, such as
to provide information about someone who is or is suspected to be a victim
of a crime; to provide information about a crime at our office; or to report
a crime that happened somewhere else; disclosure to a medical examiner to
identify a dead person or to determine the cause of death; or to funeral
directors to aid in burial; or to organizations that handle organ or tissue
donations; uses or disclosures for health related research; uses and
disclosures to prevent a serious threat to health or safety; uses or
disclosures for specialized government functions, such as for the protection
of the president or high ranking government officials; for lawful national
intelligence activities; for military purposes; or for the evaluation and
health of members of the foreign services; disclosures of de-identified
information; disclosures relating to worker’s compensation programs;
disclosures of a “limited data set” for research, public health, or health
care operations; incidental disclosures that are an unavoidable by-product
of permitted uses or disclosures; disclosures to “business associates” who
perform health care operations for us and who commit to respect the privacy
of your health information; unless you object, we will also share relevant
information about your care with your family or friends who are helping you
with your dental care.
REMINDERS – We may call or write to remind you of scheduled appointments, or
that it is time to make a routine appointment. We may also call or write to
notify you of other treatments or services available at our office that
might help you. Unless you tell us otherwise, we will mail you an
appointment reminder on a post card, and/or leave you a reminder message on
your home answering machine or with someone who answers your phone if you
are not home.
OTHER USES AND
DISCLOSURES – We will not make any other uses or disclosures of your health
information unless you sign a written “authorization form.” The content of
an “authorization form” is determined by federal law. Sometimes, we may
initiate the authorization process if the use or disclosure is our idea.
Sometimes, you may initiate the process if it’s your idea for us to send
your information to someone else. Typically, in this situation you will
give us a properly completed authorization form, or you can use one of
ours. If we initiate the process and ask you to sign an authorization form,
you do not have to sign it. If you do not sign the authorization, we cannot
make the use or disclosure. If you do sign one, you may revoke it at any
time unless we have already acted in reliance upon it. Revocations must be
in writing. Send them to the office address shown at the beginning of this
REGARDING YOUR HEALTH INFORMATION – The law gives you many rights regarding
your health information. You can:
Ask us to restrict our
uses and disclosures for purposes of treatment (except emergency
treatment), payment or health care operations. We do not have to agree
to do this, but if we agree, we must honor the restrictions that you
want. To ask for a restriction, send a written request to the address
shown at the beginning of this Notice.
Ask us to communicate
with you in a confidential way, such as by phoning you at work rather
than at home, by mailing health information to a different address, or
by using e-mail to your personal e-mail address. We will accommodate
these requests if they are reasonable, and if you pay us for any extra
cost. If you want to ask for confidential communications, send a
written request to the address shown at the beginning of this Notice.
Ask to see or to get
photocopies of your health information. By law, there are a few limited
situations in which we can refuse to permit access or copying. For the
most part, however, you will be able to review or have a copy of your
health information within 30 days of asking us (or sixty days if the
information is stored off-site). You may have to pay for photocopies in
advance. If we deny your request, we will send you a written
explanation, and instructions about how to get an impartial review of
our denial if one is legally available. By law, we can have one 30 day
extension of the time for us to give you access or photocopies if we
send you a written notice of the extension. If you want to review or
get photocopies of your health information, send a written request to
the address shown at the beginning of this Notice.
Ask us to amend your
health information if you think that it is incorrect or incomplete. If
we agree, we will amend the information within 60 days from when you ask
us. We will send the corrected information to persons who we know got
the wrong information, and others that you specify. If we do not agree,
you can write a statement of your position, and we will include it with
your health information along with any rebuttal statement that we may
write. Once your statement of position and/or our rebuttal is included
in your health information, we will send it along whenever we make a
permitted disclosure of your health information. By law, we can have
one 30 day extension of time to consider a request for amendment if we
notify you in writing of the extension. If you want to ask us to amend
your health information, send a written request, including your reasons
for the amendment, to the address shown at the beginning of this Notice.
Get a list of the
disclosures that we have made of your health information within the past
six years (or shorter period if you want). By law, the list will not
include: disclosures for purposes of treatment, payment or health care
operations; disclosures with your authorization; incidental disclosures;
disclosures required by law; and some other limited disclosures. You
are entitled to one such list per year without charge. If you want more
frequent lists, you will have to pay for them in advance. We will
usually respond to your request within 60 days of receiving it, but by
law we can have one 30 day extension of time if we notify you of the
extension in writing. If you want a list, send a written request to the
address shown at the beginning of this Notice.
Get additional paper
copies of this Notice of Privacy Practices upon request. It does not
matter whether you got one electronically or in paper form already. If
you want additional paper copies, send a written request to the address
shown at the beginning of this Notice.
OUR NOTICE OF
PRIVACY PRACTICES – By law, we must abide by the terms of this Notice of
Privacy Practices until we choose to change it. We reserve the right to
change this Notice at any time as allowed by the law. If we change this
Notice, the new privacy practices will apply to your health information that
we already have as well as to such information that we may generate in the
future. If we change our Notice of Privacy Practices, we will post the new
notice in our office and have copies available in our office.
COMPLAINTS – If
you think that we have not properly respected the privacy of your health
information, you are free to complain to us or the U.S. Department of Health
and Human Services, Office for Civil Rights. We will not retaliate against
you if you make a complaint. If you want to complain to us, send a written
complaint to the address shown at the beginning of this Notice. If you
prefer, you can discuss your complaint in person or by phone.
INFORMATION – If you want more information about our privacy practices call
or visit the office.