An enrollment packet must be completed for each patient that is receiving care from Accessible Dental Services. The packet serves to gather demographic information, insurance information, medical history information, as well as, all the necessary consents. The packet can either be mailed or faxed.
Fax Information:
Please fax the completed enrollment packet to: 412-820-9261
It can also be returned by mail to:
Accessible Dental Services
100 Passavant Way
Pittsburgh, PA 15238
Attention: Karen Noah
Important Note: It is necessary to return the packet at least 10 days prior to the scheduled appointment day to ensure that the anesthesiologist, the dentist and the Director of Operations can review it.
