A Patient has the right to:

• Receive all necessary dental care that is available from our office or receive a referral to another provider.
• Considerate, courteous, quality care with respect for personal privacy and human dignity.
• Information concerning his/her diagnosis, treatment, and prognosis (i.e., clear concise communication from our staff, access to his/her medical records in compliance with the law).
• Involvement In the decision-making concerning his/her treatment (i.e., giving informed consent prior to treatment, right to refuse treatment to the extent permitted by law).
• Confidentiality of information concerning one’s treatment.
• File a grievance and be given due process.

If you are unable to resolve the issue with the Practice Manager, you may send a written grievance to:

Fusion Dental
Attn: Dr. Henry Wilson
5005 Signal Bell Lane, Suite 101
Clarksville, Maryland 21029 

A Patient has the responsibility to:

• Comply with prescribed dental instructions from our office.
• Provide accurate past and present information to our office.
• Keep appointments for care and give required 48 hours notice to our office when canceling  appointments.
• Maintain his/her health and participate in the decisions concerning treatment.
• Ask questions of the provider if he/she doesn’t understand.
• Make payments due for services received according to established terms.
• Inform his/her provider about any living will, medical power of attorney, and or other directive that could affect his/her care.