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Additionally, procedure completion may require more than one appointment. Valid ID is required for patient registration. Patient referral is valid for 30 days from date of referral on form and patient must be seen within those 30 days. If patient is taking medications, please remind them to bring a list to their appointment.

Patient must be screened and accepted into the dental program prior to any treatment. For the no charge endodontic Community Partner therapy program, the patient will be provided with a limited exam and radiograph. Retreatments are not a covered benefit under the Community Partners endodontic therapy program. If patient does not require endodontic therapy, patient will be referred back to referring dentist for treatment.

If patient is provided with endodontic therapy, the patient understands that treatment will include a restoration [core] to temporarily protect the tooth, at no charge to the Community Partner patient. Please note the tooth may still need additional definitive treatment. He became a full time preclinical Assistant Professor in and was promoted to Associate Professor in I understand any revocation is not effective to the extent action has already been taken in reliance on this authorization.

I understand information used or disclosed pursuant to this authorization may be subject to re-disclosure and may no longer be protected by federal or state law.

This authorization is not intended to affect a patient's ability to receive medical care. Alcohol and Drug Abuse Treatment. To the extent my medical record contains information regarding alcohol or drug treatment that is protected by federal law, I authorize the disclosure of such information or record.

Community Partner site to email this completed form to communitypartners midwestern. Midwestern will contact the patient to schedule an appointment within 48 business hours of receipt. Practice Areas Dental. Robert Kramer, D. First and second year dental students work with skilled and experienced preclinical faculty to learn critical-thinking skills and dental procedural skills on mannequins in the CDMA's Simulation Clinic.

Upon graduation from our four-year program, you will be well-prepared for your direct entry into dental practice as a competent, confident, and competitive clinican and well-prepared to build your career as a member of tomorrow's healthcare team. Program Doctoral. Location Glendale, AZ.

Duration 4 Years. Intake August. Class Size Request Information. The Doctor of Dental Medicine D. Its contemporary curriculum features integrated, systems-based basic sciences; integrated, simulation-based preclinical oral health sciences; and integrated, patient-based clinical dentistry sciences. Learning is case-based and grounded in scientific evidence. The core curriculum is supplemented with course sequences in ethics and professionalism, practice management, advanced clinical dentistry, and community service.

Learn more about the dental medicine program in the College of Dental Medicine-Arizona. Apply Today.



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