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1 DENTAL Mabuhay! neighborcare.org

2 Mabuhay! Mabuhay! Welcome to Neighborcare Health Dental Education Clinic Neighborcare Health at Pacific Tower is also part of a partnership with Seattle Central College and Seattle Vocational Institute called the Dental Education Clinic, to train dental professionals of the future, while providing quality affordable dental care to patients. Dental Services / Thank you for choosing Neighborcare Health at Pacific Tower Neighborcare Health is committed to creating a health care home, encouraging longterm relationships between patients and providers. This means offering dental care as well as medical care, behavioral health (mental health and substance use recovery) services, health education and other services to care for the whole person. We meet our patients where they are geographically, culturally, physically and emotionally. We also encourage our patients to be actively involved in their own health, ask questions and take an interest in getting well and staying well. Neighborcare Health at Pacific Tower provides comprehensive general dentistry and emergency dental care to patients of all ages. We are committed to partnering with our patients to improve their dental health and wellness through education, tips for a healthy diet, and regular access to dental care. A healthy mouth is essential to keeping the rest of your body healthy, therefore we want to see you regularly for your dental check-ups and care. Services we offer include: n Dental exams, X-rays, cleanings, sealants, fillings and extractions n Oral health education n Specialty care, including limited oral surgery, crown, denture and root canal services n Emergency care services for all patients on a first-come, first-served basis n Referrals to medical, behavioral health, and additional services at other Neighborcare Health clinics

3 Emergencies and After-Hours Care For urgent dental care, walk-in services are available on a first-come, first-served basis. Please call for a same day appointment or for after-hours care when we are closed. A free 24-hour nurse advice line is also available at Appointments To make an appointment, call Please call for exact days and hours of operation, or visit our website neighborcare.org. We are closed most federal holidays. If you are going to be late to or miss your appointment, please call as soon as possible. We require one business day notice if you cancel or change an appointment. This allows us to make your appointment available to others. We will be happy to reschedule your appointment. Interpreter Services Patients speaking more than 45 different languages and dialects visit our clinics. We have interpreters and other staff members at our clinics who speak Somali, Spanish, Vietnamese and many other languages. We also provide on-site interpretation services in other languages.

4 What to Bring If you are a new patient: Please bring any written records of your medical care outside of Neighborcare Health. Also, please bring the following: n Any medications you are currently taking. n Your insurance or ProviderOne card. If you are uninsured: We ask all uninsured patients to make an appointment with an eligibility specialist to learn if they qualify for health insurance through the Washington Healthplanfinder, the Neighborcare Health Sliding Fee Discount Program, or other programs. Please bring the following documents to your eligibility appointment: Income Verification: n Taxable earned gross income for the past 30 days for every working member in household. (Ex., pay stubs, tips, pension, unemployment, alimony, unearned income, etc.) n 1040 Federal Tax Form (most recent year) n Other documentation (if applicable) Employer letter containing employer name and address, and income information. Award letter of benefits (Ex., Social Security, pension, etc.) Unemployment award letter or last two unemployment check stubs. A letter of support or reference from an individual or organization. Identity and Residence Verification: n If you are a US citizen, please bring Social Security numbers, Certificates of Naturalization (if available,) passports (if available) and names of family members to be enrolled. n If you are a legal immigrant, please bring a Permanent Resident Card (green card), passport (if available) and Social Security numbers of family members to be enrolled. n A current photo ID such as driver s license, state-issued identification card, or military ID. If you do not have access to these documents please speak to an eligibility specialist. We provide services regardless of immigration status. Other Important Information: n An address, if available. n Additional documents may be required on a case-by-case basis. Family Size Verification: n Birth and marriage certificates for all family members if 1040 Federal Tax Form is not available.

5 Fees and Insurance We believe that quality health care should be available to everyone. No one is denied services due to ability to pay. We accept Washington Apple Health (Medicaid) and most types of insurance. Proof of insurance or payment is expected at the time of service, including co-pays. We ask uninsured patients to meet with an eligibility specialist to determine if they are eligible for public insurance or a sliding fee discount. If you are uninsured and choose not to apply for public insurance or the sliding fee discount, we ask for a deposit to cover the initial cost of your care. Deposit: n $90 for dental appointment $5 discount if fee paid at time of your appointment If you qualify for the sliding fee discount program, the fees start at: n $45 for a dental appointment $5 discount if fee paid at time of your appointment Patients with questions or concerns about a bill are welcome to contact our billing department at Neighborcare Health is a non-profit organization. Public grants and insurance reimbursement cover only a portion of our expenses. Even a small tax-deductible gift can help cover the unmet need to care for a patient. thank you! Patient Rights and Responsibilities As a patient of Neighborcare Health You have the right to: n Care and service: With privacy and confidentiality, That respects your beliefs and values, In a safe, secure, comfortable and clean environment. n Information about: Our services and providers, Your health and proposed treatments, How to provide feedback to us about your care. n Participate in decisions about your health care treatments and procedures. n Language assistance services. You have the responsibility to: n Provide complete information about your health history and current health. n Participate in decisions about your health care treatments and procedures. n Follow the treatment plan developed with your provider or inform your provider if you are unable to follow through. n Treat Neighborcare Health staff, patients and property respectfully. n Make and keep appointments and notify the clinic if you are going to be late or need to cancel an appointment. n Pay the bills and fees for the health care services provided to you. Neighborcare Health does not discriminate against any person on the basis of race, color, national origin, creed, religion, sex, gender identity or expression, age, citizenship, past or present military service, marital status, sexual orientation, political ideology, or physical, mental or sensory disability, or any other factor that the law protects.

6 We re in your neighborhood. 1. Neighborcare Health at 45th Street 1629 N 45th St, Seattle, WA Neighborcare Health Youth Clinic at 45th Street 1629 N 45th St, Seattle, WA Neighborcare Health at Bailey Gatzert Elementary 1301 E Yesler Way, Seattle, WA Neighborcare Health at Ballard 1753 NW 56th St, #200, Seattle, WA Neighborcare Health at Boren 1930 Boren Ave, Seattle, WA Neighborcare Health at Central District 2101 E Yesler Way, Seattle, WA Neighborcare Health at Chief Sealth International High School 2600 SW Thistle St, Seattle, WA Neighborcare Health at Columbia City th Ave S, Seattle, WA Neighborcare Health at Dearborn Park Elementary 2820 S Orcas St, Seattle, WA Neighborcare Health at Denny International Middle School 2601 SW Kenyon St, Seattle, WA Neighborcare Health at Georgetown th Ave S, Seattle, WA Neighborcare Health at High Point th Ave SW, Seattle, WA Neighborcare Health at Highland Park Elementary 1012 SW Trenton St, Seattle, WA Neighborcare Health at Lake City th Ave NE, #101, Seattle, WA Neighborcare Health at Madison Middle School th Ave SW, Seattle, WA Neighborcare Health at McDermott Place rd Ave NE, #200, Seattle, WA Neighborcare Health at Mercer Middle School 1600 S Columbian Way, Seattle, WA Neighborcare Health at Meridian Meridian Ave N., Seattle, WA Neighborcare Health at Pacific Tower th Ave S., 4th Floor, Seattle WA Neighborcare Health at Pike Place Market 1930 Post Alley, Seattle, WA Neighborcare Health at Rainier Beach 9245 Rainier Ave S, Seattle, WA Neighborcare Health at Roosevelt High School 1410 NE 66th St, Seattle, WA Neighborcare Health at Roxhill Elementary th Ave SW, Seattle, WA OFF MAP lake city Northgate 24. Neighborcare Health at St. Vincent de Paul Aurora Aurora Ave North, Seattle, WA Neighborcare Health at Van Asselt Elementary 8311 Beacon Ave S, Seattle, WA Neighborcare Health at Vashon SW 210th St, Vashon, WA Neighborcare Health at West Seattle Elementary th Ave SW, Seattle, WA Neighborcare Health at West Seattle High School 3000 California Ave SW, Seattle, WA = Medical = Dental = School-based Health Center = Pharmacy

7 Neighborcare Health is the largest provider of primary medical and dental care in the Seattle area for low-income and uninsured families and individuals, serving our community for almost 50 years. Mabuhay! th Avenue S, Suite 401, Seattle, WA Phone: Fax: neighborcare.org Photography by Djordje Zlatanovic, Clare Barboza, Stefanie Felix & istockphoto.com December 2016

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