Temple University School of Dentistry - Odontolog Yearbook (Philadelphia, PA)

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Seniors INCOMPLETE FORMS MAY BE REJECTED TEMPLC UNIVERSITY SCHOOL OF DENTISTRY Dally Progreaa Raport Boameaa Otf « Uw Only Poated t By Student 2QQ7J51ass of Patient Name STUDENT NUMBER (8 Oigiiai FORM PATIENT NUMBER 18 0v l oate ,e o«o.i»i Mown Day vea HOURS MIN Conic no 001 i 1 L- 10 -1 1 III 1 1. 1 1 1 STUDENT ADA Coda Tooin Surface Proc Grade inatr e Point Fee Charge d2003 i i i i 01 1 freshmar 1 L.L.l 1 1 1 1 $40,000 .d?0p o ! | sqpfio npr ei 1 1 I $40,000 iHS nn.R ni3 jiininn i 1 1 1 1 c c c c ■ i i i i I 1 1 1 1 1 1 1 id i2Q06 0.4 senior i I 1 1 I $40,000 i i i i i ■ if 1-1- I d2007 1 1 .1L 1 Ajh(p knov IS -L-l— 1 -$160000 COMPLETED CASE R«C«« Patent “ Q INSTRUCTOR bank of america matniCtor PATIENT INSURANCE TYPE OPA EMPP PRIV □ □ □ NONE OTHER (SPECIFY) □ OPA INFORMATION CO LINE NO RECORD NO 1 1 1 BIRTH DATE 1-1. 1 1 I CAT SEX CTR DIG ■w CODE DISTRICT PAYMENT Total Amount Paid Casruer Verification. i cm'' ) mat w oimabon on me yeocm.» Uom co me’ vj me c o'urn i inat »no d » « ci n c My o »i s««t« !u- J» lyiMIri'lMPMli 0 eecu««nlt 0 CO t|W« N ol matar«i 'ten «a» oa O'cvmco’mo wnOa KK» «l e fmom i -o Sim et t opa patient signature WHITE-ASSICNHEXTS or?ICE YELLOW-BILLINC Of?ICE PINK-STUDENT Mtl MO REV 2 82

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To my patients, I offer loyalty, confidentiality, competence, diligence, and my beet judgement. I shall treat you as I should want to be treated and be worthy of your trust. I shall counsel you with respect to alternative methods to resolve your oral health issues when available. I shall endeavor to achieve your objectives as expeditiously and economically as possible. To my colleagues In the practice of dentistry, I offer concern for your reputation and well-being. I shall extend to you the same courtesy, respect, candor, and dignity that 1 expect to be extended to me. To organized dentistry, I offer continuing Involvement, with the strength and courage to be open and honest In all matters. I offer fairness, Integrity, and civility. I shall deal with Issues that affect dentistry based, not on my own biases, but on what is best for and most advantageous to all the membership. I shall temper my actions with the strictest adherence to the ADA Principlee of Ethics and Code of Professional Conduct. To the profession, I offer assistance In keeping It a calling In the spirit of public service, and in promoting Its understanding and an appreciation for ft by the public. 1 recognize that my actions and demeanor reflect upon our system of healthcare and our profession, and I shall conduct myself accordingly. To the puHlc and my community, I offer service. 1 shall devote some of my time and skills to community, governmental and other activities that promote the common good. I shall strive to Improve and make available to all the benefits of my profession.

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Timothy C. Adams, D.M.D Saratoga. California Brigham Young University, B.S. Thanks to everyone here at Temple Dental School who wants to be here and takes the time to teach us! Thanks to my family and friends for getting me through these four stressful years. Thanks to N. Broad Street for all the wonderful patients. I'll miss the no shows and General Tsaos Chicken, Foot-longs and getting meal?, busted elevators and the 45 day surprise, pushing carts and no infection control. I'd like to give a shout out to the A row in pre-clinic, and O-surgery department. Good luck to all my classmates it was my pleasure learning and working with you all!