Welcome to our Rewards Program!
|
|
|
- Polly Carpenter
- 5 years ago
- Views:
Transcription
1 Welcome to our Rewards Program! The ultimate goal at Thomas E. Moore Orthodontics is achieving your best smile and enjoying it for a lifetime. It can also be a lot of fun. The more you stay involved with your treatment, the more rewards you will earn. Getting Started 1 Go to 2 Click on our Rewards Card. 3 Select New to Rewards. 4 Login using the Card # and Password on the back of your card. 5 Update your password & account profile. 6 Browse all the possible prizes! How it Works Points are awarded at regular scheduled appointments. Card must be present, no exceptions. Replacement cards are available for 50 points. Points are not redeemable for cash. Points and prizes are subject to change. How to Earn Rewards Points +20 Good elastic/headgear wear +20 Good oral hygiene (flossing) +20 On time for appointment +20 Wearing their T-shirt to the appt +50 Middle Riddle/Trivia contest +100 Facebook Like +150 With each signed dental certificate. (seeing the dentist twice a year) +200 Google or Facebook Recommendation/ Review +250 Appointment on their birthday +500 Referred patient that enters into observation KEO (Keep Em On) Finished with <4 broken brackets Referred patient that starts treatment
2 Child Social Media Authorization We must have your permission to use your child s name & photo on our social media pages. Patient Name Parent/Legal Guardian Name You may use my child s first name & photo on NOVICK ORTHODONTICS social media pages. This can include Facebook, Google+, Pinterest, and Twitter. Parent/Legal Guardian Signature Date Adult Social Media Authorization We must have your permission to use your name & photo on our social media pages. Patient Name You may use my first name & photo on NOVICK ORTHODONTICS social media pages. This can include Facebook, Google+, Pinterest, and Twitter. Patient Signature Date
3 Dentist Visit Verification Please take this form to your Dental Appointment and return to us. Patient Name Date Practice Name Dentist/Hygienist Name Phone ( ) Dentist/Hygienist Signature Date THOMAS E. MOORE ORTHODONTICS
4 Referral Form Please complete this form and give it to the person you are referring. The referral must bring this form with them to their first appointment for Rewards Points to be added to your account. Current Patient Name Referred Patient Name Relationship to Patient THOMAS E. MOORE ORTHODONTICS
5 It s Easy to Earn Rewards Points! Like us on Facebook Finish with Less Than 4 Broken Brackets Signed Dental Certificates Good Oral Hygiene Good Gear Wear Referred Patients Appt. on your Birthday Arrive on time to your appt.s
6 Hello! Please, Check In! Let us know you re here. Sign In. Brush your teeth (if needed). Like us on Facebook. Check in on Facebook or Foursquare. Wait for your name to be called, we ll be with you shortly! Goodbye! Let us know how we did! Leave a review on Facebook or Google+. Make a testimonial video and post it on YouTube. Tell others about your visit today! Take care of your teeth! You ll earn more points if you do! Hello! Please, Check In! Let us know you re here. Sign In. Brush your teeth (if needed). Like us on Facebook. Check in on Facebook or Foursquare. Wait for your name to be called, we ll be with you shortly! Goodbye! Let us know how we did! Leave a review on Facebook or Google+. Make a testimonial video and post it on YouTube. Tell others about your visit today! Take care of your teeth! You ll earn more points if you do! Hello! Please, Check In! Let us know you re here. Sign In. Brush your teeth (if needed). Like us on Facebook. Check in on Facebook or Foursquare. Wait for your name to be called, we ll be with you shortly! Goodbye! Let us know how we did! Leave a review on Facebook or Google+. Make a testimonial video and post it on YouTube. Tell others about your visit today! Take care of your teeth! You ll earn more points if you do!
Straight Teeth, No Braces...
Straight Teeth, No Braces... Page 1 Why Invisalign? 3 Treatment Costs & Insurance Coverage 4 How Long Does It Take? 4 Invisalign & Your Overall Health 5 FAQ Got Invisalign? It s about time you straightened
Go the Extra Smile! How did you hear about Smile for a Lifetime?
APPLICATION FORM Please print all pages and assure all fields are completed and each item below is included with this application. [ ] Applicant Questionnaire [ ] Copy of Report Card or Transcript [ ]
By Dr. Tim Scanlan, DDS MS
By Dr. Tim Scanlan, DDS MS 1 CONTENTS Introductory Letter from Dr. Tim Scanlan... 3 1. Is He Or She A Specialist?... 4 2. Do They Have Virtually No Wait Times?... 5 3. Do They Take A Consultative Approach?...
Through Jerene s Wish
To qualify for Jerene s Wish: Applicants must have good oral hygiene, not wearing braces and must be motivated to receive orthodontic care. Applicants must complete the application and have their dentist
Our volunteers are HEROES! school year! PTO has a lot of great things planned for this year!
BLACK ELEMENTARY Parent Teacher Organization Our volunteers are HEROES! Hello, We are so excited about the upcoming 2015-2016 school year! PTO has a lot of great things planned for this year! Everyone
Quick Tips for Visiting Kids Ages 8-9
Bright Smiles, Bright Futures Quick Tips for Visiting Kids Ages 8-9 For this basic classroom visit, you will introduce yourself, talk about the importance of good oral health habits, and distribute an
Quick Tips for Visiting Kids Ages 5-7
Bright Smiles, Bright Futures Quick Tips for Visiting Kids Ages 5-7 For this basic classroom visit, you will introduce yourself, tell the children about Dr. Rabbit, and do a classroom participation mini-story.
Healthy You. Healthy Mouth = Great health starts with your mouth.
Healthy Mouth = Healthy You Great health starts with your mouth. Learn how using your ExxonMobil dental benefits helps contribute to a healthier you! Your overall health starts at the top Your mouth is
What you need to know about the Invisalign
Info pack What you need to know about the Invisalign System. Learn about the Invisalign System. From how it works, its benefits, what the treatment process is like, what it s like living with Invisalign
2010 March of Dimes Foundation
- 2010 March of Dimes Foundation Welcome to March for Babies 2011! We re so glad you decided to join us as we walk together for stronger, healthier babies. March for Babies is America s favorite walking
Sunshyne Smiles Program Orthodon c Assistance Applica on (to be completed by parent/guardian)
Orthodon c Assistance Applica on (to be completed by parent/guardian) Child s (First) (MI) (Last) Birthdate: Sex: Male Female Parent/Guardian Name (s): Address: City/State/Zip: (First) (MI) (Last) Daytime
INVISALIGN INSTYLE THE CLEAR ALTERNATIVE TO BRACES ORTHODONTICS
INSTYLE ORTHODONTICS INVISALIGN THE CLEAR ALTERNATIVE TO BRACES EVERYTHING YOU NEED TO KNOW ABOUT THE INVISALIGN SYSTEM. How it works, the benefits, the treatments process, living with invisalign, and
INVISALIGN GUIDE. 1. The key steps to Invisalign treatment. 4. How Invisalign compares to other treatments
v 1 INVISALIGN GUIDE Contents 1. The key steps to Invisalign treatment 2. The primary benefits of Invisalign 3. Your virtual treatment plan 4. How Invisalign compares to other treatments 5. Approximate
WELCOME you ve brought your smile to the right place.
WELCOME you ve brought your smile to the right place. Caring for your smile is our passion. You can say a lot with a smile. For people of all ages, it s a universal sign for happiness. Plus, a healthy
Written by Dr. Sam Alkhoury
Written by Dr. Sam Alkhoury TABLE OF CONTENTS TABLE OF CONTENTS Introductory Letter From Dr. Alkhoury... 2 Number 1: Are They A Specialist?... 3 Number 2: Is The First Visit Complimentary?... 4 Number
What you need to know about the Invisalign System.
What you need to know about the Invisalign System. Learn about the Invisalign System. From how it works, its benefits, what the treatment process is like, what it s like living with Invisalign clear aligners,
1 816.759.0123 www.burlesonorthodontics.com Introductory Letter from Dr. Burleson Dear Friend, If you are researching orthodontists and different types of braces for yourself, your children, or a loved
212 SE 12 th Street - Fort Lauderdale, FL Patient Information
Name Patient Information What is the reason for today s visit? How did you hear about our office?(person s name if any)_ Is there anything about your smile that you do not like? How long since your last
Cancellation & No-Show Appointment Policy
Cancellation & No-Show Appointment Policy Walden Dental is committed to providing all our patients with exceptional care and with giving everyone the best dental experience possible. When a patient cancels
Healthy Tracks Program Guide (Pre-Launch Testing)
Healthy Tracks Program Guide (Pre-Launch Testing) Welcome to Healthy Tracks! Healthy Tracks is a fun, year-long program where you will have access to a state-of-the-art health and wellness portal found
9TH ANNUAL GREENSBORO RUN/WALK FOR AUTISM SATURDAY, SEPTEMBER 30, 2017 GREENSBORO JAYCEE PARK 9 AM
Team Captain Handbook 9TH ANNUAL GREENSBORO RUN/WALK FOR AUTISM SATURDAY, SEPTEMBER 30, 2017 GREENSBORO JAYCEE PARK 9 AM 9TH ANNUAL GREENSBORO RUN/WALK FOR AUTISM SATURDAY, SEPT. 30 GreensboroRunWalkforAutism.org
Welcome to the HandsOn Bay Area PROJECT LEADER Team!
Welcome to the HandsOn Bay Area PROJECT LEADER Team! Welcome! Dear Project Leader, HandsOn Bay Area depends on motivated individuals like you who are committed to strengthening our communities through
How to earn Vitality Points
GNGGSYCEN 0115 How to earn Your step-by-step guide to HumanaVitality Earn at your own pace HumanaVitality is a wellness and rewards program for everyone no matter your age or health status. It will put
Contents. How Invisalign Works 3. The Design and Consultation Process 4. What Does Invisalign Correct? 5. Wearing Your Invisalign Braces 6
& T T L E EN U D A G U I D E TO INVISALIGN Invisalign braces are the leader in clear orthodontics. For just over two decades, these removable aligners have allowed adults and teens to enjoy straighter
FUNDRAISING GUIDE. Make A Difference. walktocurearthritis.org. #WalkToCureArthritis
FUNDRAISING GUIDE ONE Can Make A Difference walktocurearthritis.org #WalkToCureArthritis Welcome to the Walk to Cure Arthritis Walk to Cure Arthritis is the largest arthritis gathering in the world, celebrating
HEART & STROKE WALK. June 2, 2018 Mile High Stadium. Life is Why Sponsor
DENVER HEART & STROKE WALK June 2, 2018 Mile High Stadium COACH GUIDE Life is Why Sponsor #DenverHeartWalk OUR MISSION OUR MISSION Our mission is to build healthier lives, free of cardiovascular diseases
WALK FOR WISHES RESOURCES
WALK FOR WISHES RESOURCES TABLE OF CONTENTS 7. 8. 9. 10. Walk For Wishes Flyer Starting a Corporate Walk Team Starting a Community Walk Team Team Captain Objectives Walker Objectives Online Registration
TOP 10 THINGS You Should Know Before Choosing An
S P E C I A L R E P O R T TOP 10 THINGS You Should Know Before Choosing An Orthodontist By Dr. Robert W. Shafer DMD, MS 217.354.9148 www.shafersmiles.com TABLE OF CONTENTS Introductory Letter from Dr.
Are Dental Implants Right for You
Are Dental Implants Right for You Eight Facts to Help You Decide Many people today deal with the embarrassment and discomfort of missing teeth. Whether you are experiencing this problem due to accidents,
Dental Health Certificate
Dental Health Certificate Parent/Guardian: New York State law (Chapter 281) permits schools to request an oral health assessment in the following grades: school entry, K, 2, 4, 7, & 10. Your child may
PATIENT REGISTRATION FORM
Please Print PATIENT REGISTRATION FORM Date: Who can we thank for referring you to our office? Patient Name (First) (Middle) (Last) Preferred Name (if applicable) DOB Sex: Male Female Patients Address
Patient s SSN: Patient s Birth Date: / / SSN: Resp. Party s Birth Date: / / Marital Status: Married Single Divorced
Health History Form Patient Information Patient s Preferred Name: Patient s SSN: Patient s Birth Date: / / Patient s Sex: Male Female Patient s Age: Responsible Party 1 First Name: Last Name: SSN: Resp.
Your Delta Dental Program
Good oral health starts with knowledge. Smart plans for smart mouths. Your Delta Dental Program With your dental benefit program, you are free to go to any licensed dentist. However, you will save the
Step by Step: How to maximize your benefits
Step by Step: How to maximize your benefits Learn how to access your ID card, search for a dentist near you, download the Delta Dental mobile app and more! Click on a topic below to learn more: Subscriber
Your guide to the Plexus 60 Day Trim Up
TM G R E AT P R O D U C T S P LU S H E A LT H Y C H O I C E S L E A D T O M O R E H E A LT H A N D H A P P I N E S S. Your guide to the Plexus 60 Day Trim Up CONTENTS 1 PRIZES Win one of 60 prizes, like
FALL FOR SMILES. Open Your Mouth: Oral Health is Health! Participation Guide
2018 FALL FOR SMILES Open Your Mouth: Oral Health is Health! Participation Guide Dear Oral Health Advocate, Thank you for your support and efforts to bring healthy mouths to life. Fall for Smiles is an
The Children s Home K Community Walk. for Children & Families. Saturday, May 6th, 9:00am to 12:00noon
The Children s Home - 2017 5K Community Walk for Children & Families Saturday, May 6th, 9:00am to 12:00noon Enjoy a fun-filled spring morning in beautiful, historic Catonsville Since 1863, The Children
A GAME PLAN FOR THE GAME CHANGERS IN ORTHODONTICS
A GAME PLAN FOR THE GAME CHANGERS IN ORTHODONTICS By Roger P. Levin, DDS Ortho Production Whitepaper Series For Ortho2 Users Bonus LG120118 Copyright 2018 by Levin Group, Inc. 888.973.0000 WWW.LEVINGROUP.COM
Special Report. Top Ten Things You should consider Before Choosing Your Orthodontist
Special Report Top Ten Things You should consider Before Choosing Your Orthodontist Welcome note from Dr. Richard M. Hesby Dear Friend, If you are researching orthodontists or investigating the various
The Benefits of Early Orthodontic Treatment for Your Child SPECIAL REPORT. The Benefits of Early Orthodontic Treatment for Your Child
SPECIAL REPORT The Benefits of Early Orthodontic Treatment for Your Child by Peter T. Kimball, DMD, MS Specialist in Orthodontics for Children and Adults 949.304.5154 www.kimballortho.com 949.304.5154
Welcome to the. Take a Bite Out of Dental Bills!
Welcome to the Take a Bite Out of Dental Bills! welcome to the Smilebuilderz Dental Plan! Hello, This membership packet will help you understand your Smilebuilderz Dental Plan (SDP) as well as includes
Banishing the Broken Appointment
Idaho State Dental Association Banishing the Broken Appointment Presented By: Dr. Rhonda Savage www.milesglobal.net (877)343-0909 Rhonda Savage, DDS, CSP is an internationally known author and lecturer.
Facts about Daffodils Days 2018:
WHAT DO I DO AS A COORDINATOR? 1. Sign up as a coordinator by letting your American Cancer Society staff partner know you would like to help! 2. Set a goal. How much money do you want to raise? Find people
SPECIAL REPORT. The Top 10 Things You Should Know Before Choosing Your Orthodontist
SPECIAL REPORT The Top 10 Things You Should Know Before Choosing Your Orthodontist By Dr. Rajia Sebbahi 304.725.0126 www.rsorthodontist.com 304.725.0126 www.rsorthodontist.com 1 Introductory Letter from
DENTAL IMPLANTS Right for You?
SPECIAL REPORT Are DENTAL IMPLANTS Right for You? by Dr. Greg McElroy McElroy Smiles By Design 760.621.7551 www.drmcelroy.com Introductory Letter from Dr. Gregory McElroy Dear Friend, If you are struggling
English Speaking Board (International) Ltd. Entry Level Award ESOL Skills for Life (Reading) (Entry 3) Paper Time 60 minutes
English Speaking Board (International) Ltd. Entry Level Award ESOL Skills for Life (Reading) (Entry 3) Paper Time 60 minutes Booking Number Candidate Number Surname Other Names Date Centre Name Please
THE ULTIMATE 12-WEEK WEIGHT LOSS PROGRAM PROTOCOL
THE ULTIMATE 12-WEEK WEIGHT LOSS PROGRAM PROTOCOL PATIENT NAME: Initial Evaluation VISIT 1 VISIT 2 VISIT 3 VISIT 4 VISIT 5 VISIT 6 DATE STARTED PROGRAM: Paperwork doubled check for ALL information Take
Keep Smiling. DeltaCare USA. We keep you smiling
Keep Smiling DeltaCare USA We keep you smiling FAQ+A Answers to frequently asked questions about your DeltaCare USA plan GETTING STARTED 1. How do I enroll in a DeltaCare USA plan? Simply complete the
Feature Articles. Sponsored by:
Feature Articles 2018 Sponsored by: Oral healthcare for seniors Today s seniors can expect to keep most, if not all, of their teeth as they age thanks to healthier lifestyles and advances in oral and medical
Enroll in DeltaCare USA and you ll enjoy these features: you and your family. conditions covered,
DeltaCare USA provided by Delta Dental of California Quality Convenience Predictable Costs DELTACARE USA We ll do whatever it takes and then some. Welcome to DeltaCare USA - quality, convenience, predictable
INVISALIGN GUIDE 2015
INVISALIGN GUIDE 2015 Contents 1. The key steps to Invisalign treatment 2. The primary benefits of Invisalign 3. Your virtual treatment plan 4. How Invisalign compares to other treatments 5. Approximate
MOBILE PREMIER PEDIATRIC DENTISTRY Maureen T. Baldy, D.M.D.
MOBILE PREMIER PEDIATRIC DENTISTRY Maureen T. Baldy, D.M.D. 3920 Airport Blvd, Mobile, AL 36608 251-342-3323 www.mobilekidsdentist.com Welcome! We would like to welcome you to our practice. Our goal is
MEDICAL HISTORY DO YOU HAVE OR HAVE YOU HAD ANY OF THE FOLLOWING PLEASE CHECK ALL THAT APPLY. Patients s Name Date Yes No Yes No
MEDICAL HISTORY DO YOU HAVE OR HAVE YOU HAD ANY OF THE FOLLOWING PLEASE CHECK ALL THAT APPLY Patients s Name Date Yes No Yes No Anemia Arthritis Artificial Joints or Heart Valve Asthma Cancer/tumors Chest
My first dental visit
My first dental visit at Plenty Valley Community Health Website: www.pvch.org.au Healthy Families Healthy Communities -this is an initiative of the Health Promotion and Prevention Team at Plenty Valley
At, our approach to orthodontics is fresh, fun and totally focused on making you feel great. Our highly trained experts understand that you want a
At, our approach to orthodontics is fresh, fun and totally focused on making you feel great. Our highly trained experts understand that you want a really fantastic smile but that you don t want the whole
Top 10 Things. Orthodontist S P E C I A L R E P O R T. You Must Know Before Choosing Your. by Dr. Lisa Grant
S P E C I A L R E P O R T The Top 10 Things You Must Know Before Choosing Your Orthodontist Top 10 Things You Must Know Before Choosing Your Orthodontist by Dr. Lisa Grant 708.866.0079 www.grantortho.com
SmileNet SM Dental Discount Program
SmileNet SM Dental Discount Program We want to catch you smiling. for Individuals and Families Effective April 1, 2005 Why Dental Care Should Be a Priority for You and Your Family Good oral health means
TH BE TOLD. Summer! Did You Know?
T TH BE TOLD We Summer! Did You Know? Sweet and sugar filled drinks and treats may seem like an easy go-to this summer, but they can damage your teeth. Fill your pantry and fridge with healthy options.
Oral Health Care During Pregnancy
Oral Health Care During Pregnancy Prepared by National Maternal and Child Oral Health Resource Center Georgetown University Research to Policy and Practice Forum: Periodontal Health and Birth Outcomes
Together we ll find the missing pieces. Inside is all the information you need to form and build your team.
Team Captain Instruction Booklet Together we ll find the missing pieces. Inside is all the information you need to form and build your team. 2009 Autism Speaks Inc. Autism Speaks and Autism Speaks It s
Getting Started Guide Make the most of your health plan.
Getting Started Guide Make the most of your health plan. Look inside for: Getting Help Benefits Extras Getting Care 2018 United Healthcare Services, Inc. All rights reserved. CST18574 3/18 CSIA17MC4222749_001
WHY DENTAL SEALANTS MIGHT BE THE RIGHT CHOICE A GUIDE FOR YOU AND YOUR CHILDREN
WHY DENTAL SEALANTS MIGHT BE THE RIGHT CHOICE A GUIDE FOR YOU AND YOUR CHILDREN We don t need to tell you why it is important to keep up with a healthy oral hygiene regimen for your child, mainly because
Upperman Family Dental NEW PATIENT REGISTRATION
Date Upperman Family Dental NEW PATIENT REGISTRATION First Name Middle Initial Last Name Patient is: Policy Holder Responsible Party Preferred Name Address Address 2 City, State, Zip Home Phone Cell Phone
PATIENT INFORMATION. Address: Street City State Zip Home phone: Work phone: Cell phone: address: Patient s or parent s employer: Occupation:
Date: PATIENT INFORMATION Name: Birth date: First Last Address: Street City State Zip Home phone: Work phone: Cell phone: E-mail address: How would you prefer to be contacted? Home Cell Text E-mail Are
12-WEEK CANDIDA PROGRAM PROTOCOL
12-WEEK CANDIDA PROGRAM PROTOCOL PATIENT NAME: Initial Evaluation VISIT 2 VISIT 3 VISIT 4 VISIT 5 DATE STARTED PROGRAM: Paperwork doubled check for ALL information Take Symptom Survey Close Products given
Treatment Acceptance Scripts
Treatment Acceptance Scripts Trust and the benefits of the treatment are the most important factors that influence a patient s buying decision. 877-777-6151 www.mckenziemgmt.com McKenzie Management www.mckenziemgmt.com
Welcome to Skyline Pediatric Dentistry!
Welcome to Skyline Pediatric Dentistry! Patient Information Patient Name: Preferred Name: Today s Date: Birth Date: Age: Social Security #: Male Female Names of siblings: Responsible Party Information
Child s Legal Name: Nickname: Male Female. Birth Date: Age: School: Grade: FATHER STEPMOTHER GUARDIAN? Insured s Name: D.O.B. Social Security #:
Welcome Welcome to our practice! We strive to make each of your child s visits pleasant and comfortable. Our goal is to teach your child oral habits which will help keep their smile beautiful for their
Registration & Fundraising Tools
Registration & Fundraising Tools Teams Sponsor Registration Sponsor Register Your Team Online: RETURNING Teams If you are a returning walker, registration can be completed using our autofill tool! 1. Go
Whitepaper SELLING PATIENTS ON CEREC, ZOOM, INVISALIGN & OTHER TREATMENT TECHNOLOGIES
Whitepaper SELLING PATIENTS ON CEREC, ZOOM, INVISALIGN & OTHER TREATMENT TECHNOLOGIES WINNING OVER PATIENTS WITH YOUR TECHNOLOGY Dental patients don t know how good they have it today. The reason? No one
New Patient Information
Patient's Street Address: Home Phone: Cell Phone: of Birth: / / New Patient Information State: Name of Person Responsible for This Account: E-Mail Address: Zip Code: Work Phone: SSN: Do You Have Dental
Things You Must Know Before Choosing An
SPECIAL REPORT z 10 Things You Must Know Before Choosing An Orthodontist by Dr. Christian P. Manley 425.392.7533 www.cpmortho.com 425.392.7533 www.cpmortho.com 1 Introductory Letter from Dr. Manley Welcome!
30-DAY CLEAR SKIN PROGRAM PROTOCOL
30-DAY CLEAR SKIN PROGRAM PROTOCOL VISIT 1 Initial Evaluation : VISIT 2 : VISIT 3 : VISIT 4 : *Staff must initial everything they complete. Paperwork doubled check for ALL information Take Symptom Survey
PARTICIPANT FUNDRAISING GUIDE
PARTICIPANT FUNDRAISING GUIDE Raising money for ZERO has allowed me to do my part to help men like my dad and families like ours battle this disease. I have far exceeded my fundraising expectations, but
Inside this tool kit you will find: Party Tips. Fundraising Tips. Bottle Wraper. Lables. Invitation. Place Cards. Toppers. Cupcake Warpper.
Party Kit So you re thinking of holding a cocktail or dinner party to have some fun and raise money for the Canadian Breast Cancer Foundation? Read on to discover some tips and tools to help make it easy
TEAMS PACKET Survivor BREAKFAST SURVIVORS & 5K RACE CEREMONY TEAM TAILGATE CELEBRATION OCTOBER 29, mi FUN run DOWNTOWN ALEXANDRIA
TEAM TAILGATE SPONSORED BY: Survivor BREAKFAST 7:30 A.M. 9 a.m. S T A R T 1 mi FUN run & 5K RACE SURVIVORS CEREMONY TEAM TAILGATE & LOTS MORE & CELEBRATION OCTOBER 29, 2016 DOWNTOWN ALEXANDRIA TEAMS PACKET
Your Dental and Vision Benefits Beaver Motors
OPEN ENROLLMENT 2017 Summary of Benefits Your Dental and Vision Benefits Beaver Motors Relationships are built on trust. Respect for an individual s privacy goes a long way toward building trust. Humana
Oral Health Education
e C ity Fre v a K I DS Oral Health Education for Pregnant Women, Children Birth through Age Five, and Their Families TM A Quick Reference for Home Visitors TM Cavity Free K I DS Cavity Free Kids Oral Health
Your Dental Update. implant + dental care COMPANY. Address info
Your Dental Update Brace yourself: taking care of your orthodontic appliance Smile and the world smiles with you We want to hear from you! I have a missing tooth, is there something I can do about the
Register your team now and begin fundraising to support United Way and win prizes!
Register your team now and begin fundraising to support United Way and win prizes! Team Captain Registration Form IMPORTANT: Please note that your $250 team registration fee must be paid on or before Friday,
We need contributors!
We need contributors! Want to help with articles for our new PTA newsletter? Email us at cbespta@gmail.com to find out how you can he lp us keep parents and our community informed! Outstanding Teachers
NEW PATIENT PAPERWORK
NEW PATIENT PAPERWORK Welcome! Please fill out the necessary paperwork provided. It is our pleasure to serve you and your family. How did you find out about us? If It was a friend or doctor, please list
The Top 10 Things. Orthodontist SPECIAL REPORT. by Dr. Peter Kimball. To Know When Choosing An. Top 10 Things To Know Before Choosing An Orthodontist
SPECIAL REPORT The Top 10 Things To Know When Choosing An Orthodontist by Dr. Peter Kimball 949.363.3350 www.kimballortho.com 949.363.3350 www.kimballortho.com 1 Introductory Letter from Dr. Kimball Dear
PATIENT INFORMATION DENTAL HEALTH HISTORY
PATIENT INFORMATION Welcome to Pristine Family and Implant Dentistry. We appreciate the confidence you place with us to provide dental services. To assist us in serving you, please complete the following
TEAM CAPTAIN GUIDE. Welcome and Thank You...2. Walk to Make Cystic Fibrosis Histroy...3. The Role of the Team Captain...3. Getting Started...
TEAM CAPTAIN GUIDE TEAM CAPTAIN GUIDE TABLE OF CONTENTS Welcome and Thank You....2 Walk to Make Cystic Fibrosis Histroy...3 The Role of the Team Captain...3 Getting Started...4 Fundraising Tips...6 Walk
PLATINUM MAINTENANCE PROGRAM PROTOCOL
PLATINUM MAINTENANCE PROGRAM PROTOCOL PATIENT NAME: Initial Evaluation VISIT 1 VISIT 2 VISIT 3 VISIT 4 VISIT 5 VISIT 6 VISIT 7 DATE STARTED PROGRAM: Double check paperwork for ALL information Take Symptom
Heart Disease and Stroke. You re the Cure. You re the Cure A Guide for Advocates
Heart Disease and Stroke. You re the Cure. You re the Cure A Guide for Advocates Contents 3 AHA Mission Statement 3 Overview: You re the Cure Advocate and Contact Information 4 Ways to Get Involved 5 How
Choosing your plan. City of Sacramento. We ll do whatever it takes and then some. Your Two Delta Dental Plan Options
City of Sacramento Choosing your plan Your Two Delta Dental Plan Options The choice is yours. When it comes to dental health, you want benefits that provide you with the best balance of value and coverage.
Invisalign and you.
Invisalign and you www.invisalign.co.uk your consultation Name:... Date of consultation:... Thank you for enuiring about Invisalign orthodontic services. An investment in straighter teeth brings more than
Six Month Smiles. Straight Teeth. Less Time. WANT STRAIGHT TEETH IN 6 MONTHS? Patient eguide. > An Introduction to the Six Month Smiles system.
Six Month Smiles Straight Teeth. Less Time. WANT STRAIGHT TEETH IN 6 MONTHS? 2017 Patient eguide > An Introduction to the Six Month Smiles system. Be yourself. #SixMonthSmiles #6MonthSmiles Lucid Lok clear
PATIENT MEDICAL HISTORY
Patients Name: PATIENT MEDICAL HISTORY Address: Date of Last Visit: Date of Med History City: State: Zip: Email: Home Phone: Work Phone: Birth Date: Social Security No: Marital Status: Primary Dental Guarantor:
Prolia 2 shots a year proven to help strengthen bones.
Ask your doctor if Prolia (denosumab) is right for you and visit us at www.prolia.com For women with postmenopausal osteoporosis at high risk for fracture: there s Prolia. Prolia 2 shots a year proven
TOP 10 THINGS YOU SHOULD KNOW BEFORE CHOOSING YOUR FAMILY DENTIST
TOP 10 THINGS YOU SHOULD KNOW BEFORE CHOOSING YOUR FAMILY DENTIST INTRODUCTORY LETTER FROM DR. DELAURA Dear Friend, If you are in the process of searching for a family dentist that offers a wide range
Sunday, May 3, 2015 Greenwich Point Greenwich, CT
8th Annual Lung Cancer Walk Team Captain Guide Sunday, May 3, 2015 Greenwich Point Greenwich, CT We welcome you and your team to CancerCare s Annual Walk/Run for Hope! People raise more money together
Jason A Boch DMD LLC Jason A. Boch, DMD DMSc Diplomate of the American Board of Periodontology
Jason A Boch DMD LLC Jason A. Boch, DMD DMSc Diplomate of the American Board of Periodontology Patient Information Patient Name: of Birth: Gender (M/F): Name of Parent (if patient is a minor): Home Address:
FRIDAY, SEPTEMBER 15 REGISTER YOUR TEAM NOW AND BEGIN FUNDRAISING TO SUPPORT UNITED WAY AND WIN PRIZES!
FRIDAY, SEPTEMBER 15 REGISTER YOUR TEAM NOW AND BEGIN FUNDRAISING TO SUPPORT UNITED WAY AND WIN PRIZES! TEAM CAPTAIN REGISTRATION FORM IMPORTANT: Please note that your $300 team registration fee must be
Specialised Dental Service
Specialised Dental Service Information leaflet for patients Going the extra mile to make Oxfordshire smile Contents Who we are and what we do Page 3 Our team and clinics Page 4 Why have I been referred?
MEMBER FOCUS. WellCare Helps with Cost of GED Testing. Utilization Management: Reviews to Ensure the Right Care. What Does GED Mean?
GEORGIA 2013 ISSUE I MEMBER FOCUS WellCare Helps with Cost of GED Testing Education is a key to well being. That s why WellCare of Georgia wants to help members with the cost of GED testing. Passing the
Tomorrow s SMILES Program
Do you know a promising teen whose future is at-risk due to lack of dental treatment? Would your teen and his or her family understand, appreciate, and value pro-bono dental care? If so, your teen may
Tell Us About Your Child
5C Medical Park Drive Pomona, NY 10970 (845) 414-9626 drsmith@smithslittlesmiles.com www.smithslittlesmiles.com Marita Smith, DDS Board Certified Pediatric Dentistry We are thrilled to welcome you and