At Sacramento River Dental Group

We want you to be well.

We have always advocated for your oral wellness and now have a better way to guide your overall dental care.

Our Wellness Membership Program allows you to choose the plan that’s best for you and your family.

NO DEDUCTIBLES
NO RESTRICTIONS
NO MAXIMUMS

Elevate your dental care and save.

Our easy-to-use membership plans provide the highest level of comprehensive care for patients without dental benefits and may also supplement your existing benefits.

Select Your Oral Wellness

Frequently Asked Questions

Can I transfer my membership to another dentist?

Your membership plan is between our practice and you. You unfortunately cannot transfer it to another dentist. 

Please call our office at the number listed below and we would be happy to set up an appointment for you.

Call now (916) 391-4848

Just log in to our simple Member Portal and click “Billing” to update any information.

We accept credit and debit cards including Visa, Discover, American Express, and Mastercard.

Yes! You can easily add dependents to your membership account.

If you are a patient at our practice and do not have dental insurance, a membership plan is a perfect fit for you. Plans include preventive care and discounts on other procedures.

Our Practice

Sacramento River Dental Group

Office Code: EC7F

Please call us to book an appointment!

Join our membership plan today!

Sacramento River Dental Group
Overview
We offer an in-house membership plan to our loyal patients that provides easy, comprehensive, and affordable dental care benefits.
Plan detail

Plan: Adult Complete
Effective Dates: 6/13/2024 – 6/13/2024
Renewal Date: 6/13/2025
Renewal: Annual
Price: $492 / year or $41 / month
Annual Value: $951 (Save $459 compared to our standard fees)

Included Treatments
DescriptionCDT CodeQty/YrValue
Prophylaxis - AdultD11102$300
Periodic Oral Evaluation - Established PatientD01202$144
FMXVaries1$199
Emergency Exam- Problem FocusedVaries1$182
Topical Application Of Fluoride VarnishD12062$126
Total$951
Procedure Discounts by Category

The following highlights the discounts provided for each dental procedure category as part of this membership plan:

Procedure CategoryDiscount
Diagnostic20%
Preventive20%
Restorative20%
Endodontics20%
Prosthodontics Removable20%
Maxillofacial Prosthetics20%
Implant Services20%
Prosthodontics Fixed20%
Oral And Maxillofacial Surgery20%
Adjunctive General Services20%
Orthodontics10%
Dental Services Membership Agreement

This Dental Services Membership Agreement (the “Agreement”) is entered into on the Commencement Date (as defined below) by and between Practice (as defined in Exhibit A), and the Patient as listed below; and with the Practice and the Patient also each referenced herein as a “Party” and collectively as the “Parties”.

WHEREAS, the Practice is a subscriber to TruBlu Plan For Health, LLC Oral Wellness Membership Program software as a service platform (“TruBlu Software”)

WHEREAS, the Practice utilizing the TruBlu Software has created specific oral wellness membership programs to offer its patients (“Programs”);

WHEREAS, the Patient desires to participate in one of the Programs and engage the Practice to provide dental services for the Patient under the terms of this Agreement;

WHEREAS, the Patient has selected the Program that includes the dental services and/or benefits which he/she will be provided by the Practice (the “Dental Services”) from the Programs offered in the Practice’s instance of the TruBlu Software Platform included in this online enrollment process;

WHEREAS, based on the Patient’s Program selection(s) the TruBlu Software has calculated the Membership Fee (as defined below), and the Patient has completed the payment requirements as required through the secure portal on this website; and

WHEREAS, the Patient desires to enter into this Agreement as the terms and conditions under which the Dental Services will be provided by the Practice through the Program;

  1. Incorporation of Recitals. The recitals are incorporated as substantive provisions of this Agreement.
  2. Dental Services. During the Membership Period, (as defined below), the Practice will provide the Patient those Dental Services he/she has selected from the menu of available Programs included in this online enrollment process.
  3. Complications. Patient acknowledges his/her understanding and acceptance that with any dental procedure there are “known and accepted complications”; that is, a difficulty or problem with the procedure which arises in a certain percentage of cases even when the procedure is performed correctly. The Patient acknowledges that if such a complication arises with the Practice’s providing of any of the Dental Services, the Practice may charge an additional fee, in addition to the Membership Fee, to treat the complication. The Practice may also refer the Patient to a dental specialist who is not a participating provider in the Program and who will charge the Patient a fee for this specialist’s treatment of the complication.
  4. Scheduling; Practice Rules & Procedures. The Patient is responsible for scheduling his/her appointments to take advantage of the Dental Services provided by the Practice under the Program. Please contact the front desk by phone or use the Practice’s website to schedule an appointment where applicable.

The Practice has established certain rules as its standard operating procedures (e.g.; cancellation and rescheduling of appointments; timing, and method of payment for any treatments/services not included in the Dental Services; emergency protocols; and COVID-19 infection control measures). These procedures are included on this website, and a paper copy of them will be provide to the Patient upon his/her first appointment. The Patient must comply with them as a condition of continued enrollment in the Program.

  1. Changes in Dental Services & Program Options. During the Membership Period no changes will be made in the Dental Services. However, at the conclusion of each Membership Period the Practice reserves the right to alter, change, add- to, subtract- from, or delete any of the Dental Services the Practice will provide in any renewal of this Agreement

The various treatments\services which the Practice provides through the Program, as listed in the menu, may be altered, changed, added - to, subtracted- from, or deleted at any time, including but not limited to, at the time of any renewal of this Agreement, without prior notice to the Patient.

  1. Exclusions. If an individual is already a patient of the Practice when they enroll in the Program, then any treatments/services they received prior- to, and any which they are in the mist- of receiving at the Commencement Date, are excluded from the Plan. The Practice will provide, or will continue to provide, as applicable, these treatments/services under its usual, customary, and reasonable fee schedule then in effect.

If during the Enrollment Period the Patient requests that the Practice provide any treatments/services which are not include in the Dental Services, and the Practice does provide them, they will be charged according to its usual, customary, and reasonable fee schedule then in effect.

Dental Services which are begun but are not completed as of the Termination Date will be continued under the Program after the Termination Date; but only if the Patient renews this Agreement for another Enrollment Period. If the Patient does not renew, then the completion of these Dental Services will be according to the Practice’s usual, customary, and reasonable fee schedule then in effect.

Dental Services which the Patient does not utilize by the Termination Date cannot be carried over with any renewal of this Agreement for a successor Membership Period. The Patient will not receive a refund of any portion of the Membership Fee for any Dental Services which the Patient does not utilize prior to the Termination Date.

  1. Exclusive Use. This Program is non-transferable by the Patient to any other person.
  2. Membership Fee. The Membership Fee is the amount listed for the Membership Period based on the Dental Services selected by the Patient. The Membership Fee is non-refundable. The Fee applies only to the Dental Services provided by the Practice, and it does not apply to any other dental treatments/services provided by the Practice or by any other Dental provider, including any specialty dentist to whom the Practice may refer the Patient for treatment/services.
  3. Term. The term of this Agreement shall begin on the date that the Patient completes the enrollment process (the “Commencement Date”) and shall continue for a term of 365 days thereafter (the “Membership Period”). The 365th day being the “Termination Date.”
  4. Termination & Renewal. This Agreement shall automatically terminate on the Termination Date. At that time, the Patient may renew his/her membership in the Program through this enrollment process under the terms and conditions the Program is then offering through its Dental Services Membership Agreement then in effect.
  5. Termination by Practice. The Practice reserves the right to terminate the Patient‘s enrollment for any substantial failure to comply with the terms of the Program or the Practice’s standard operating rules and procedures; or if the patient is noncompliant with the Practice’s clinical instructions /directives or otherwise is noncompliant; or if the patient is disruptive or otherwise inappropriate in his\her conduct. The Practice will refund the Patient a prorated amount of the Membership Fee based on the amount of Dental Services the Practice has provided for the Patient at the time of such a termination. The Practice will charge the Patient for these Dental Services according to its usual, customary, and reasonable fee schedule then in effect. If these charges are in excess of the Membership Fee, then the Patient will be charged for any amount in excess.
  6. Questions\Concerns. If the Patient has any questions or concerns about any aspect of the Program, they can submit them to the Practice by contacting (via email or through the practice’s website.)
  7. Disclaimer. This Program is not insurance and is not intended to replace dental insurance. It is not a Qualified Health Plan under the Affordable Care Act. The Program and the Practice are not licensed insurers, health maintenance organizations, or other underwriters of health care (dental) professional services. The Program, itself, does not make any payments to the Practice, only the Patient makes such payments. There is no collective risk between and among the individuals who become Practice patients under the Program. Each patient has his/her own separate account with the Practice and the Membership Fee of each patient is strictly used to compensate the Practice for the Dental Services it provides for the individual patient.
  8. Entire Agreement & Amendments. This Agreement constitutes the entire understanding between the Parties with regard to the Patient’s enrollment in the Program, and it supersedes any prior oral or written agreements\understandings between the Parties with regard to the Program This Agreement may be amended only by a writing executed by both Parties.
  9. Assignment of Agreement. Because this Agreement is for the personal professional services of the dentists at the Practice, it is not assignable by the Practice to any person or entity. Because this Agreement is personal to the Patient, it is similarly not assignable by the Patient to any other person or entity.
  10. Governing Law and Jurisdiction. This Agreement shall be subject to, and governed by, the laws of the State in which the Practice is located, and the Parties agree to the exclusive jurisdiction of the state courts in the county in which the Practice is located. Both Parties agree to the exclusive jurisdiction and venue of these courts for any claims, complaints, causes of legal action or other controversies which arise between them under this Agreement and under any and all other professional and personal dealings/relationships between them.
  11. Severability. If any provision of this Agreement is held to be unenforceable for any reason, its unenforceability shall not affect the remainder of this Agreement, which shall remain in full force and effect and enforceable in accordance with its terms.
  12. Additional Terms, Exclusions, and Disclosures. Cannot be used at other dental offices. Perio Protect 10% discount only

I have read, understand, and knowingly agree to, and will comply with, all the terms and conditions of this Agreement. I acknowledge that my participation in the Program is strictly voluntary.

Sacramento River Dental Group
Overview
We offer an in-house membership plan to our loyal patients that provides easy, comprehensive, and affordable dental care benefits.
Plan detail

Plan: Perio
Effective Dates: 6/13/2024 – 6/13/2024
Renewal Date: 6/13/2025
Renewal: Annual
Price: $720 / year or $60 / month
Annual Value: $1290 (Save $570 compared to our standard fees)

Included Treatments
DescriptionCDT CodeQty/YrValue
Periodontal MaintenanceD49103$576
Periodic Oral Evaluation - Established PatientD01202$144
FMXVaries1$199
Emergency Exam- Problem FocusedD01401$182
Topical Application Of Fluoride VarnishD12062$189
Total$1290
Procedure Discounts by Category

The following highlights the discounts provided for each dental procedure category as part of this membership plan:

Procedure CategoryDiscount
Diagnostic20%
Preventive20%
Restorative20%
Endodontics20%
Prosthodontics Removable20%
Maxillofacial Prosthetics20%
Implant Services20%
Prosthodontics Fixed20%
Oral And Maxillofacial Surgery20%
Adjunctive General Services20%
Orthodontics10%
Dental Services Membership Agreement

This Dental Services Membership Agreement (the “Agreement”) is entered into on the Commencement Date (as defined below) by and between Practice (as defined in Exhibit A), and the Patient as listed below; and with the Practice and the Patient also each referenced herein as a “Party” and collectively as the “Parties”.

WHEREAS, the Practice is a subscriber to TruBlu Plan For Health, LLC Oral Wellness Membership Program software as a service platform (“TruBlu Software”)

WHEREAS, the Practice utilizing the TruBlu Software has created specific oral wellness membership programs to offer its patients (“Programs”);

WHEREAS, the Patient desires to participate in one of the Programs and engage the Practice to provide dental services for the Patient under the terms of this Agreement;

WHEREAS, the Patient has selected the Program that includes the dental services and/or benefits which he/she will be provided by the Practice (the “Dental Services”) from the Programs offered in the Practice’s instance of the TruBlu Software Platform included in this online enrollment process;

WHEREAS, based on the Patient’s Program selection(s) the TruBlu Software has calculated the Membership Fee (as defined below), and the Patient has completed the payment requirements as required through the secure portal on this website; and

WHEREAS, the Patient desires to enter into this Agreement as the terms and conditions under which the Dental Services will be provided by the Practice through the Program;

  1. Incorporation of Recitals. The recitals are incorporated as substantive provisions of this Agreement.
  2. Dental Services. During the Membership Period, (as defined below), the Practice will provide the Patient those Dental Services he/she has selected from the menu of available Programs included in this online enrollment process.
  3. Complications. Patient acknowledges his/her understanding and acceptance that with any dental procedure there are “known and accepted complications”; that is, a difficulty or problem with the procedure which arises in a certain percentage of cases even when the procedure is performed correctly. The Patient acknowledges that if such a complication arises with the Practice’s providing of any of the Dental Services, the Practice may charge an additional fee, in addition to the Membership Fee, to treat the complication. The Practice may also refer the Patient to a dental specialist who is not a participating provider in the Program and who will charge the Patient a fee for this specialist’s treatment of the complication.
  4. Scheduling; Practice Rules & Procedures. The Patient is responsible for scheduling his/her appointments to take advantage of the Dental Services provided by the Practice under the Program. Please contact the front desk by phone or use the Practice’s website to schedule an appointment where applicable.

The Practice has established certain rules as its standard operating procedures (e.g.; cancellation and rescheduling of appointments; timing, and method of payment for any treatments/services not included in the Dental Services; emergency protocols; and COVID-19 infection control measures). These procedures are included on this website, and a paper copy of them will be provide to the Patient upon his/her first appointment. The Patient must comply with them as a condition of continued enrollment in the Program.

  1. Changes in Dental Services & Program Options. During the Membership Period no changes will be made in the Dental Services. However, at the conclusion of each Membership Period the Practice reserves the right to alter, change, add- to, subtract- from, or delete any of the Dental Services the Practice will provide in any renewal of this Agreement

The various treatments\services which the Practice provides through the Program, as listed in the menu, may be altered, changed, added - to, subtracted- from, or deleted at any time, including but not limited to, at the time of any renewal of this Agreement, without prior notice to the Patient.

  1. Exclusions. If an individual is already a patient of the Practice when they enroll in the Program, then any treatments/services they received prior- to, and any which they are in the mist- of receiving at the Commencement Date, are excluded from the Plan. The Practice will provide, or will continue to provide, as applicable, these treatments/services under its usual, customary, and reasonable fee schedule then in effect.

If during the Enrollment Period the Patient requests that the Practice provide any treatments/services which are not include in the Dental Services, and the Practice does provide them, they will be charged according to its usual, customary, and reasonable fee schedule then in effect.

Dental Services which are begun but are not completed as of the Termination Date will be continued under the Program after the Termination Date; but only if the Patient renews this Agreement for another Enrollment Period. If the Patient does not renew, then the completion of these Dental Services will be according to the Practice’s usual, customary, and reasonable fee schedule then in effect.

Dental Services which the Patient does not utilize by the Termination Date cannot be carried over with any renewal of this Agreement for a successor Membership Period. The Patient will not receive a refund of any portion of the Membership Fee for any Dental Services which the Patient does not utilize prior to the Termination Date.

  1. Exclusive Use. This Program is non-transferable by the Patient to any other person.
  2. Membership Fee. The Membership Fee is the amount listed for the Membership Period based on the Dental Services selected by the Patient. The Membership Fee is non-refundable. The Fee applies only to the Dental Services provided by the Practice, and it does not apply to any other dental treatments/services provided by the Practice or by any other Dental provider, including any specialty dentist to whom the Practice may refer the Patient for treatment/services.
  3. Term. The term of this Agreement shall begin on the date that the Patient completes the enrollment process (the “Commencement Date”) and shall continue for a term of 365 days thereafter (the “Membership Period”). The 365th day being the “Termination Date.”
  4. Termination & Renewal. This Agreement shall automatically terminate on the Termination Date. At that time, the Patient may renew his/her membership in the Program through this enrollment process under the terms and conditions the Program is then offering through its Dental Services Membership Agreement then in effect.
  5. Termination by Practice. The Practice reserves the right to terminate the Patient‘s enrollment for any substantial failure to comply with the terms of the Program or the Practice’s standard operating rules and procedures; or if the patient is noncompliant with the Practice’s clinical instructions /directives or otherwise is noncompliant; or if the patient is disruptive or otherwise inappropriate in his\her conduct. The Practice will refund the Patient a prorated amount of the Membership Fee based on the amount of Dental Services the Practice has provided for the Patient at the time of such a termination. The Practice will charge the Patient for these Dental Services according to its usual, customary, and reasonable fee schedule then in effect. If these charges are in excess of the Membership Fee, then the Patient will be charged for any amount in excess.
  6. Questions\Concerns. If the Patient has any questions or concerns about any aspect of the Program, they can submit them to the Practice by contacting (via email or through the practice’s website.)
  7. Disclaimer. This Program is not insurance and is not intended to replace dental insurance. It is not a Qualified Health Plan under the Affordable Care Act. The Program and the Practice are not licensed insurers, health maintenance organizations, or other underwriters of health care (dental) professional services. The Program, itself, does not make any payments to the Practice, only the Patient makes such payments. There is no collective risk between and among the individuals who become Practice patients under the Program. Each patient has his/her own separate account with the Practice and the Membership Fee of each patient is strictly used to compensate the Practice for the Dental Services it provides for the individual patient.
  8. Entire Agreement & Amendments. This Agreement constitutes the entire understanding between the Parties with regard to the Patient’s enrollment in the Program, and it supersedes any prior oral or written agreements\understandings between the Parties with regard to the Program This Agreement may be amended only by a writing executed by both Parties.
  9. Assignment of Agreement. Because this Agreement is for the personal professional services of the dentists at the Practice, it is not assignable by the Practice to any person or entity. Because this Agreement is personal to the Patient, it is similarly not assignable by the Patient to any other person or entity.
  10. Governing Law and Jurisdiction. This Agreement shall be subject to, and governed by, the laws of the State in which the Practice is located, and the Parties agree to the exclusive jurisdiction of the state courts in the county in which the Practice is located. Both Parties agree to the exclusive jurisdiction and venue of these courts for any claims, complaints, causes of legal action or other controversies which arise between them under this Agreement and under any and all other professional and personal dealings/relationships between them.
  11. Severability. If any provision of this Agreement is held to be unenforceable for any reason, its unenforceability shall not affect the remainder of this Agreement, which shall remain in full force and effect and enforceable in accordance with its terms.
  12. Additional Terms, Exclusions, and Disclosures. Can only be used at this location. Perio Protect discounted at 10% only

I have read, understand, and knowingly agree to, and will comply with, all the terms and conditions of this Agreement. I acknowledge that my participation in the Program is strictly voluntary.

Sacramento River Dental Group
Overview
We offer an in-house membership plan to our loyal patients that provides easy, comprehensive, and affordable dental care benefits.
Plan detail

Plan: Child Complete
Effective Dates: 6/13/2024 – 6/13/2024
Renewal Date: 6/13/2025
Renewal: Annual
Price: $396 / year or $33 / month
Annual Value: $817 (Save $421 compared to our standard fees)

Included Treatments
DescriptionCDT CodeQty/YrValue
Prophylaxis - ChildD11202$272
Periodic Oral Evaluation - Established PatientD01202$144
Emergency Exam- Problem FocusedVaries1$182
Bitewings - Radiographic ImagesVaries1$93
Topical Application Of Fluoride VarnishD12062$126
Total$817
Procedure Discounts by Category

The following highlights the discounts provided for each dental procedure category as part of this membership plan:

Procedure CategoryDiscount
Diagnostic20%
Preventive20%
Restorative20%
Endodontics20%
Prosthodontics Removable20%
Maxillofacial Prosthetics20%
Implant Services20%
Prosthodontics Fixed20%
Oral And Maxillofacial Surgery20%
Adjunctive General Services20%
Orthodontics10%
Dental Services Membership Agreement

This Dental Services Membership Agreement (the “Agreement”) is entered into on the Commencement Date (as defined below) by and between Practice (as defined in Exhibit A), and the Patient as listed below; and with the Practice and the Patient also each referenced herein as a “Party” and collectively as the “Parties”.

WHEREAS, the Practice is a subscriber to TruBlu Plan For Health, LLC Oral Wellness Membership Program software as a service platform (“TruBlu Software”)

WHEREAS, the Practice utilizing the TruBlu Software has created specific oral wellness membership programs to offer its patients (“Programs”);

WHEREAS, the Patient desires to participate in one of the Programs and engage the Practice to provide dental services for the Patient under the terms of this Agreement;

WHEREAS, the Patient has selected the Program that includes the dental services and/or benefits which he/she will be provided by the Practice (the “Dental Services”) from the Programs offered in the Practice’s instance of the TruBlu Software Platform included in this online enrollment process;

WHEREAS, based on the Patient’s Program selection(s) the TruBlu Software has calculated the Membership Fee (as defined below), and the Patient has completed the payment requirements as required through the secure portal on this website; and

WHEREAS, the Patient desires to enter into this Agreement as the terms and conditions under which the Dental Services will be provided by the Practice through the Program;

  1. Incorporation of Recitals. The recitals are incorporated as substantive provisions of this Agreement.
  2. Dental Services. During the Membership Period, (as defined below), the Practice will provide the Patient those Dental Services he/she has selected from the menu of available Programs included in this online enrollment process.
  3. Complications. Patient acknowledges his/her understanding and acceptance that with any dental procedure there are “known and accepted complications”; that is, a difficulty or problem with the procedure which arises in a certain percentage of cases even when the procedure is performed correctly. The Patient acknowledges that if such a complication arises with the Practice’s providing of any of the Dental Services, the Practice may charge an additional fee, in addition to the Membership Fee, to treat the complication. The Practice may also refer the Patient to a dental specialist who is not a participating provider in the Program and who will charge the Patient a fee for this specialist’s treatment of the complication.
  4. Scheduling; Practice Rules & Procedures. The Patient is responsible for scheduling his/her appointments to take advantage of the Dental Services provided by the Practice under the Program. Please contact the front desk by phone or use the Practice’s website to schedule an appointment where applicable.

The Practice has established certain rules as its standard operating procedures (e.g.; cancellation and rescheduling of appointments; timing, and method of payment for any treatments/services not included in the Dental Services; emergency protocols; and COVID-19 infection control measures). These procedures are included on this website, and a paper copy of them will be provide to the Patient upon his/her first appointment. The Patient must comply with them as a condition of continued enrollment in the Program.

  1. Changes in Dental Services & Program Options. During the Membership Period no changes will be made in the Dental Services. However, at the conclusion of each Membership Period the Practice reserves the right to alter, change, add- to, subtract- from, or delete any of the Dental Services the Practice will provide in any renewal of this Agreement

The various treatments\services which the Practice provides through the Program, as listed in the menu, may be altered, changed, added - to, subtracted- from, or deleted at any time, including but not limited to, at the time of any renewal of this Agreement, without prior notice to the Patient.

  1. Exclusions. If an individual is already a patient of the Practice when they enroll in the Program, then any treatments/services they received prior- to, and any which they are in the mist- of receiving at the Commencement Date, are excluded from the Plan. The Practice will provide, or will continue to provide, as applicable, these treatments/services under its usual, customary, and reasonable fee schedule then in effect.

If during the Enrollment Period the Patient requests that the Practice provide any treatments/services which are not include in the Dental Services, and the Practice does provide them, they will be charged according to its usual, customary, and reasonable fee schedule then in effect.

Dental Services which are begun but are not completed as of the Termination Date will be continued under the Program after the Termination Date; but only if the Patient renews this Agreement for another Enrollment Period. If the Patient does not renew, then the completion of these Dental Services will be according to the Practice’s usual, customary, and reasonable fee schedule then in effect.

Dental Services which the Patient does not utilize by the Termination Date cannot be carried over with any renewal of this Agreement for a successor Membership Period. The Patient will not receive a refund of any portion of the Membership Fee for any Dental Services which the Patient does not utilize prior to the Termination Date.

  1. Exclusive Use. This Program is non-transferable by the Patient to any other person.
  2. Membership Fee. The Membership Fee is the amount listed for the Membership Period based on the Dental Services selected by the Patient. The Membership Fee is non-refundable. The Fee applies only to the Dental Services provided by the Practice, and it does not apply to any other dental treatments/services provided by the Practice or by any other Dental provider, including any specialty dentist to whom the Practice may refer the Patient for treatment/services.
  3. Term. The term of this Agreement shall begin on the date that the Patient completes the enrollment process (the “Commencement Date”) and shall continue for a term of 365 days thereafter (the “Membership Period”). The 365th day being the “Termination Date.”
  4. Termination & Renewal. This Agreement shall automatically terminate on the Termination Date. At that time, the Patient may renew his/her membership in the Program through this enrollment process under the terms and conditions the Program is then offering through its Dental Services Membership Agreement then in effect.
  5. Termination by Practice. The Practice reserves the right to terminate the Patient‘s enrollment for any substantial failure to comply with the terms of the Program or the Practice’s standard operating rules and procedures; or if the patient is noncompliant with the Practice’s clinical instructions /directives or otherwise is noncompliant; or if the patient is disruptive or otherwise inappropriate in his\her conduct. The Practice will refund the Patient a prorated amount of the Membership Fee based on the amount of Dental Services the Practice has provided for the Patient at the time of such a termination. The Practice will charge the Patient for these Dental Services according to its usual, customary, and reasonable fee schedule then in effect. If these charges are in excess of the Membership Fee, then the Patient will be charged for any amount in excess.
  6. Questions\Concerns. If the Patient has any questions or concerns about any aspect of the Program, they can submit them to the Practice by contacting (via email or through the practice’s website.)
  7. Disclaimer. This Program is not insurance and is not intended to replace dental insurance. It is not a Qualified Health Plan under the Affordable Care Act. The Program and the Practice are not licensed insurers, health maintenance organizations, or other underwriters of health care (dental) professional services. The Program, itself, does not make any payments to the Practice, only the Patient makes such payments. There is no collective risk between and among the individuals who become Practice patients under the Program. Each patient has his/her own separate account with the Practice and the Membership Fee of each patient is strictly used to compensate the Practice for the Dental Services it provides for the individual patient.
  8. Entire Agreement & Amendments. This Agreement constitutes the entire understanding between the Parties with regard to the Patient’s enrollment in the Program, and it supersedes any prior oral or written agreements\understandings between the Parties with regard to the Program This Agreement may be amended only by a writing executed by both Parties.
  9. Assignment of Agreement. Because this Agreement is for the personal professional services of the dentists at the Practice, it is not assignable by the Practice to any person or entity. Because this Agreement is personal to the Patient, it is similarly not assignable by the Patient to any other person or entity.
  10. Governing Law and Jurisdiction. This Agreement shall be subject to, and governed by, the laws of the State in which the Practice is located, and the Parties agree to the exclusive jurisdiction of the state courts in the county in which the Practice is located. Both Parties agree to the exclusive jurisdiction and venue of these courts for any claims, complaints, causes of legal action or other controversies which arise between them under this Agreement and under any and all other professional and personal dealings/relationships between them.
  11. Severability. If any provision of this Agreement is held to be unenforceable for any reason, its unenforceability shall not affect the remainder of this Agreement, which shall remain in full force and effect and enforceable in accordance with its terms.

I have read, understand, and knowingly agree to, and will comply with, all the terms and conditions of this Agreement. I acknowledge that my participation in the Program is strictly voluntary.

Privacy Policy

Hispanic or Latino

A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

American Indian or Alaska Native (Not Hispanic or Latino)

A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.

Asian (Not Hispanic or Latino)

A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Black or African American (Not Hispanic or Latino)

A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)

A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White (Not Hispanic or Latino)

A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Two or More Races (Not Hispanic or Latino)

Persons who identify with two or more race/ethnic categories named above.

Privacy Policy

Sacramento River Dental Group – Candidate Privacy Notice

Sacramento River Dental Group is committed to respecting your online privacy and recognizes your need for appropriate protection and management of any personally identifiable information (“Personal Information”) you share with us.

Sacramento River Dental Group is a “data controller”. This means that we are responsible for deciding how we hold and use personal information about you. This privacy notice makes you aware of how and why your personal data will be used, namely for the purposes of the Sacramento River Dental Group employment recruitment process, and how long it will usually be retained.

Data protection principles

We will comply with data protection law and principles, which means that your data will be:

  • Used lawfully, fairly, and in a transparent way.
  • Collected only for valid purposes that we have clearly explained to you and not used in any way that is incompatible with those purposes.
  • Relevant to the purposes we have told you about and limited only to those purposes.
  • Accurate and kept up to date.
  • Kept only as long as necessary for the purposes we have told you about.
  • Kept securely.

The kind of information we hold about you

In connection with your application for work with us, we will collect, store, and use the following categories of personal information about you:

  • The information you have provided to us in your curriculum vitae and cover letter.
  • The information you have provided on our application form, including name, title, address, telephone number, personal email address, employment history, and qualifications.
  • Any information you provide to us during an interview.

How is your personal information collected?

We collect personal information about candidates from the following sources:

  • You, the candidate.
  • Recruitment agencies and vendors we have agreed on terms in place with
  • Professional networking profile
  • Employees and others who refer you to us


How we will use information about you?

We will use the personal information we collect about you to:

  • Assess your skills, qualifications, and suitability for the role.
  • Carry out background and reference checks, where applicable.
  • Communicate with you about the recruitment process.
  • Keep records related to our hiring processes.
  • Comply with legal or regulatory requirements.
  • We also need to process your personal information to decide whether to enter into a contract of employment with you.

Having received your CV, cover letter, and/or your application form, we will then process that information to decide whether you meet the basic requirements to be screened by our in-house recruitment team for the role. If you do, we will decide whether your application is strong enough to invite you for an interview, be it by telephone, in person, or by other electronic means. If we decide to engage you for an interview, we will use the information you provide to us at the interview to decide whether to offer you the role. If we decide to offer you the role, we will then take up references before confirming your appointment.

If you fail to provide personal information

If you fail to provide information when requested, which is necessary for us to consider your application (such as evidence of qualifications or work history), we will not be able to process your application successfully and we will not be able to take your application further.

Automated decision-making

You will not be subject to decisions that will have a significant impact on you based solely on automated decision-making.

Data sharing With third parties

  • We will only share your personal information with the following third parties for the purposes of processing your application; this may involve sharing your information with other companies within our own group if we consider they may have other relevant vacancies and only if you consent to such sharing
  • All our third-party service providers and other entities in the group are required to take appropriate security measures to protect your personal information in line with our policies. We do not allow our third-party service providers to use your personal data for their own purposes. We only permit them to process your personal data for specified purposes and in accordance with our instructions.

Data security

We have put in place appropriate security measures to prevent your personal information from being accidentally lost, used, or accessed in an unauthorized way, altered, or disclosed. In addition, we limit access to your personal information to those employees, agents, contractors, and other third parties who have a business need-to-know. They will only process your personal information on our instructions and they are subject to a duty of confidentiality.

We have put in place procedures to deal with any suspected data security breach and will notify you and any applicable regulator of a suspected breach where we are legally required to do so.

Data retention (how long will you use my information for)

  • We will retain your personal information for a period of 2 years after we have communicated to you our decision about whether to appoint you to the role. We will retain your personal information so that we can make you aware of any suitable alternative roles that arise during this period.
  • We further retain your personal information for that period so that we can show, in the event of a legal claim, that we have not discriminated against candidates on prohibited grounds and that we have conducted the recruitment exercise in a fair and transparent way. After this period, we will securely destroy your personal information in accordance with applicable laws and regulations.
  • If you would prefer that we did not retain your personal information, you can notify us at any time and we will delete your personal information.


Rights of access, correction, erasure, and restriction

Under certain circumstances, by law, you have the right to:

  • Request access to your personal information (commonly known as a “data subject access request”). This enables you to receive a copy of the personal information we hold about you and to check that we are lawfully processing it.
  • Request correction of the personal information that we hold about you. This enables you to have any incomplete or inaccurate information we hold about you corrected.
  • Request erasure of your personal information. This enables you to ask us to delete or remove personal information where there is no good reason for us to continue to process it. You also have the right to ask us to delete or remove your personal information where you have exercised your right to object to processing (see below).
  • Object to processing of your personal information where we are relying on a legitimate interest (or those of a third party) and there is something about your particular situation which makes you want to object to processing on this ground. You also have the right to object to where we are processing your personal information for direct marketing purposes.
  • Request the restriction of processing of your personal information. This enables you to ask us to suspend the processing of personal information about you, for example, if you want us to establish its accuracy or the reason for processing it.

Right to withdraw consent

When you applied for this role, you provided consent to us processing your personal information for the purposes of the recruitment exercise. You have the right to withdraw your consent for processing for that purpose at any time.

To withdraw your consent, please contact the Recruitment Manager. Once we have received notification that you have withdrawn your consent, we will no longer process your application, and, subject to our policies, we will dispose of your personal data securely.

Data protection officer

We have appointed a data protection officer (DPO) to oversee compliance with this privacy notice. If you have any questions about this privacy notice or how we handle your personal information, please contact the DPO by email, at info@jstreetdentalgroup.com.