Robert A Foster, Jr
DMD/PC
Family and Cosmetic Dentistry
770-971-5119
1230 Johnson Ferry Place
Suite C-10
Marietta, GA 30068
WE ARE PARTNERS
As A patient You Have the Right:
To Receive information regarding dental health
To Receive assistance in a responsible manner
To expect that records are treated with privacy
To Refuse dental services and be advised of the consequences of failure to do
the advised treatment
As A Patient You Have a Responsibility
To Review and Understand your Dental Insurance Policy
To Produce your insurance Card for verification
To treat all personnel respectfully and courteously
To keep all scheduled appointments
(We reserve the right to charge for appointments canceled or broken without 24
Hours notice)
To Pay for your portion at the time of service
To ask questions regarding your care and seek clarification
if necessary
To provide honest and complete health information including
updating any changes in medication
To Express opinions, concerns, and suggestions in a constructive
appropriate manner to the office manager and/or dentist
