Please feel free to visit our office during normal business hours. Please note lunch is from 12pm - 1pm most days.
WANT TO SCHEDULE AN APPOINTMENT?
Click HERE to schedule an appointment online!
Billing or Insurance Questions?
Please contact Jennifer at 563-285-5600, Ext. 2
or by e-mail at firstname.lastname@example.org
Office E-Mail: email@example.com
100 South 4th Avenue Eldridge, Iowa 52748
Mon: 8am - 5pm
Tues: 8am - 5pm
Wed: 8am - 5pm
Thurs: 8am - 5pm
Fri: By Appt Only
You may select a pdf form below to print and manually fill out or you may click this link to access our ONLINE FORMS.
Classic Concepts Family Dentistry, PC complies with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex. Classic Concepts Family Dentistry, PC does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.
Classic Concepts Family Dentistry, PC provide free aids and services to people with disabilities to communicate effectively with us, such as, but not limited to:
If you need these services, please visit our office, contact by phone (563)285-5600 or e-mail us at firstname.lastname@example.org .
If you believe that Classic Concepts Family Dentistry, P.C. has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with:
Dr. Katharine J. Pins
100 S. 4th Avenue, Unit 2
Eldridge, IA 52748
Fax (563) 296-5622
Your grievance may be in person, by mail, fax or email. If you need help filing a grievance, we are available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf , or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue SW
Room 509F, HHH Building
Washington, DC 20201
800–368–1019, 800–537–7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html
Copyright © 2017 Classic Concepts Family Dentistry - All Rights Reserved.
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