Patient rights & responsibilities

Last updated: November 6, 2026

As our patient, you have the right to

• Be treated with courtesy, dignity and respect, without discrimination.
• Know the names and roles of the people caring for you.
• Receive clear information about your diagnosis, treatment options, risks, benefits and costs, in language you understand, including Spanish.
• Take part in decisions about your care, ask questions, get a second opinion, and refuse treatment.
• Receive a written estimate before treatment beyond your exam.
• Privacy and confidentiality of your health information, as described in our Notice of Privacy Practices.
• Get copies of your records.
• Voice a concern or complaint without it affecting your care.

As our patient, you are responsible for

• Giving complete and accurate information about your health, medications and allergies, and updating it at each visit.
• Following the care plan you agree to, and telling us if you can’t.
• Keeping appointments, or changing them at least 24 hours ahead.
• Providing current insurance information and paying your share as described in our financial policy.
• Treating our team and other patients with respect.

Concerns

If you have a concern about your care, please call our office manager at (630) 549-⁠7916 or write to Bliss Dental Center, 1400 Lincoln Highway, Suite B, St. Charles, IL 60174. You may also contact the Illinois Department of Financial and Professional Regulation, which licenses dentists in Illinois, at idfpr.illinois.gov.