Dental Center Forms

Record Request Form

Use this form to request your dental record

Patient Rights and Responsibilities

At the Harvard Dental Center of the Harvard School of Dental Medicine we are committed to providing safe dental care and to treating each patient with dignity, compassion, and respect.  We recognize that a professional relationship based on confidentiality and trust between the dentist/students/providers/hygienists and the patient is essential for the provision of quality oral health care. This Patient Rights and Responsibilities serves as a framework for successful care.

Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you may obtain access to this information. Please review it carefully.