HIPAA Form

Family Dentistry Serving Camp Hill, New Cumberland, Lemoyne, Lower Allen, Wormleysburg, and New Market Areas

The HIPAA (Health Insurance Portability and Accountability Act) form is an essential component of patient privacy and confidentiality in the healthcare industry. This form outlines your rights and explains how your personal health information may be used and disclosed by healthcare providers. By signing the HIPAA form, you acknowledge that you have received this information and understand your privacy rights.

The form ensures that your confidential medical information remains protected and allows you to give or restrict consent for certain uses of your data. At Bridge Street Dental Center, we prioritize patient privacy and compliance with HIPAA regulations to maintain the utmost confidentiality and trust.

Download your HIPAA form.

     
 
   Bridge Street Dental Center
   349 Google reviews 
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      Posted on Google  
  
 
   Paula Lynn Hoagland 
 10 September 2026
 
 
  Best visit I have ever had at the dentist. The staff are friendly.  Dr Lewis made my experience pleasant and was patient and listened to my concerns.  Would highly recommend them.
  
 
     Posted on Google  
  
 
   Paul C 
 3 September 2026
 
 
  Dr. Purvas and EFDA Sandy did an excellent job on my cavity today. All the staff are friendly and professional. Hi highly recommend this practice.
  
 
     Posted on Google  
  
 
   Yvonne Gaines 
 2 September 2026
 
 
  Hygienist was very pleasant and efficient Great job
  
 
     Posted on Google  
  
 
   TIM HENNINGER 
 27 August 2026
 
 
  Great from start to finish Friendly, smiling Clear plan of care and billing
  
 
     Posted on Google  
  
 
   Matt Sim 
 27 August 2026
 
 
  The best.  I drive 4.5hrs to go to Dr. Purvis.  Clean, organized, and highest level of care, technology, and personal touch.

CONTACT US:

Kyle J. Purvis, DMD
Bridge Street Dental Center
1902 Bridge Street
New Cumberland, PA 17070

Phone: 717-774-7700

Email: Office@BridgeStreetDC.com

OUR OFFICE HOURS:

Monday: 8:00 am to 5:00 pm
Tuesday: 7:00 am to 4:00 pm
Wednesday: 8:00 am to 5:00 pm
Thursday: 7:00 am to 4:00 pm
Friday: 8:00 am to 12:00 pm

OUR SPECIALTIES:

Cosmetic Dentistry
Endodontics Dentistry
Orthodontics Dentistry
Periodontal Dentistry
Preventative Dentistry
Restorative Dentistry