Jacksonville Dentist - Jacksonville Dental Office
This page provides you with practical information about our practice. It includes descriptions of our office location, including a map and directions, hours, appointment scheduling, insurance acceptance and billing policies.
Randall Lawson, DDS
505 W College Ave
Jacksonville, IL 62650-2405
Monday: 8:00 AM - 5:00 PM
Tuesday: 8:00 AM - 5:00 PM
Wednesday: 8:00 AM - 5:00 PM
Thursday: 9:00 AM - 5:00 PM
We know you have many choices when choosing a Dentist in Jacksonville, IL so we have made requesting an appointment a simple process via our Web site. If, for any reason you cannot keep a scheduled appointment, or will be delayed, please call us as soon as possible.
Insurance and Billing
We accept most dental insurances and for your convenience, we will file your insurance claims for you. For patients with insurance, we will help determine the coverage you have as defined by your contract. Your insurance contract will define the benefits to which you are entitled.
Professional care is provided to you, our patient, not the insurance company. We will strive to maximize the benefits to which you are entitled. If you have any questions regarding insurance benefits please feel free to call our office. We are here for you and happy to help with your any of your concerns.
Financial Arrangement / Payment Options
We strive to provide outstanding dental care that is affordable for every family. We give our patients an estimate of their cost prior to the start of any treatment and offer a series of financing options to our patients so that the financing of their dental care will be comfortable.
Fees may be paid as follows:
- Payment in full at the time of services.
- Most major bank/ credit or debit cards Visa, Master-card, Discover
- Insurance on assignment. (We will file your insurance as a service to you and will do our very best to maximize your benefits. We accept assignment of benefits to lower your immediate out-of-pocket expenditures. We ask that you take care of your estimated co-pay at the time of service.)
- Third party financing with our financial partners with approved credit.
We will do our very best to work out a financial solution for your particular situation. If you have any questions at all, please don't hesitate to call and speak with our office manager for more clarification on payment options the office we are here to help you.
CareCredit is here to help you pay for treatments and procedures your insurance doesn’t cover. We offer No Interest* financing or low minimum monthly payment options so you can get what you want when you want it. You can even use CareCredit for your family and favorite pet. With three simple steps, including an instant approval process, it’s easy to apply for CareCredit. Go to carecredit.com to apply online.
Facilities and Equipment
- Digital X-rays
- Electronic patient files
- Computerized check-in for patient paperwork
- Patient Education videos to watch in the office or take a free copy on DVD home with you
- All staff are certified in CPR
College Avenue Dental - HIPAA Consent and Agreement
Effective August 6, 2013
I consent to the use or disclosure of my “protected health information” as defined in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and this Consent by College Avenue Dental for the purpose of diagnosing or providing treatment to me, obtaining payment for my health care bills or to conduct the health care operations of College Avenue Dental.I understand that diagnosis or treatment of me by Dr. Randall E. Lawson may be conditioned upon my consent as evidence by my signature on this document or electronically for this document.
My “protected health information”(PHI) means health information, including but not limited to my demographic information, collected from me and created or received by College Avenue Dental, another health care provider, a health plan, my employer or a health care clearinghouse. This protected health information relates to my past, present or future physical or mental health or condition and identifies me, or there is a reasonable basis to believe such information may identify me.
I understand that I have the right to request a restriction as to how my protected health information is used or disclosed to carry out treatment, payment or the healthcare operations of College Avenue Dental. College Avenue Dental is not required to agree to any restriction that I may request. If, however, College Avenue Dental agrees to any restriction requested by me, such restriction shall be binding on College Avenue Dental and Dr. Randall E. Lawson.I further understand that I have the right to revoke this consent, in writing, at any time, except to the extent that Dr. Randall E. Lawson or College Avenue Dental has taken action in reliance on this consent.
I understand I have a right to review College Avenue Dental’s Notice of Privacy Practices prior to signing this consent. College Avenue Dental’s Notice of Privacy Practices has been provided to me and describes the types of uses and disclosures of my protected health information that may occur in my treatment, payment of my bills, or in the performance of health care operations of College Avenue Dental. This includes calling the pharmacy of your choice regarding your prescriptions. This Notice of Privacy Practices also describes my rights and College Avenue Dental’s duties with respect to my protected health information.
Please also note that as provided in College Avenue Dental’s Notice of Privacy Practices, College Avenue Dental reserves the right to change the privacy practices that are described in such notice. I may obtain a revised notice of privacy practices by accessing the College Avenue Dental website, calling the office at (217) 245-5319 and requesting a revised copy be sent in the mail or asking for one at the time of my next appointment.
I also consent to the College Avenue Dental Internet Communications Consent form. I have been provided and read the information regarding the secured uploading of patient information to the website for the dental practice, and grant College Avenue Dental permission to securely upload my patient information to the website.
It is important that College Avenue Dental contact you regarding upcoming appointments or regarding a need to change an appointment with our office. I give my permission for Dr. Randall Lawson and staff to leave a message by telephone with a family member or on a home telephone recorder; send notices by mail; leave a message by email and/or text messaging, or leave a message at my place of employment requesting me to call the office. If I do not wish to be contacted at any of the above places, I will sign a declination form that I can get from the receptionist at College Avenue Dental.
I understand that College Avenue Dental has a sign in sheet at the registration desk that asks me my name and/or Initials, and about Text Messaging, Email and my method of payment. I give College Avenue Dental permission to have this information at the registration desk and understand that other people may see the information. I understand that I have the right not to give any of this information on the sign in sheet at the registration desk.
I give permission for employees of College Avenue Dental to call me by first and last name in the waiting room when Dr. Randall E. Lawson or the hygienist is ready to see me.
College Avenue Dental is obligated to notify you in the event of a breach of unsecured protected health information.
College Avenue Dental will obtain a written authorization from you if there is a disclosure of your PHI for marketing purposes or the sale of your PHI.
In the event you pay in full for a service out of pocket, you now have the right to request that College Avenue Dental not disclose treatment information for this service to a health plan.
You have the right to inspect and copy your protected health information which includes the right to an Electronic copy of your records if you prefer.
Internet Communications Consent
I grant my permission to College Avenue Dental to upload and store confidential patient information (including account information, appointment information, and clinical information) to the secured website for the dental practice. I understand that for security purposes the site requires a user ID and password for access and use. I also understand that College Avenue Dental and I are responsible for maintaining the strict confidentiality of any ID and password assigned to me; and that the dental practice is not liable for any harm related to the theft of my ID and password, my disclosure of my ID and password, or my authorization to allow another person or entity to access and use the dental practice website with my ID and password. I also agree to immediately notify College Avenue Dental of any unauthorized use of my ID or of any other need to deactivate my ID due to security concerns.
I also understand that State and Federal Laws, as well as ethical and licensure requirements impose obligations with respect to patient confidentiality that limits the ability to make use of certain services or to transmit certain information to third parties. I understand the dental practice will represent and warrant that they will, at all times during the terms of the agreement and thereafter, comply with all laws directly or indirectly applicable that may now or hereafter govern the gathering, use, transmission, processing, receipt, reporting, disclosure, maintenance, and storage of my information, and use their best efforts to cause all persons or entities under their direction or control to comply with such laws. I agree that the dental practice has the right to monitor, retrieve, store, upload and use my information in connection with the operation of such services, and is acting on my behalf in uploading my patient information. I understand that College Avenue Dental will use commercially reasonable efforts to maintain the confidentiality of all patient information that is uploaded to the website on my behalf.
I understand that College Avenue Dental CANNOT AND DOES NOT ASSUME ANY RESPONSIBILITY FOR MY USE OR MISUSE OF PATIENT INFORMATION OR OTHER INFORMATION TRANSMITTED, MONITORED, STORED, UPLOADED OR RECEIVED USING THE SITE OR THE SERVICES.
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