Jacqueline Marcin, D.M.D.1820 E. Market St.York, Pa. 17402Patient NameAddressDate of BirthDear Patient:I am writing to inform you about a situation in my practice that requires your carefulconsideration. I have recently discovered that some of my infection control practiceswere called into question. Corrective action was immediately taken, including review byan infection control specialist, and I have implemented all recommendations.The Pennsylvania Department of Health (PADOH) has issued a public alert which hasbeen disseminated through the media, recommending testing for humanimmunodeficiency virus (HIV), hepatitis C virus and hepatitis B virus.I wish to reiterate the fact stated by PADOH that, to date, there is no knowntransmission of any blood-borne pathogens found in this investigation. While the risk ofdisease is likely very low, as a precaution, PADOH recommends that you get tested forthese blood borne illnesses for your safety and well-being.I have set up a fund to reimburse patients for their out-of-pocket testing costs.If you have already had testing, and wish reimbursement, please forward a copy ofyour billing statement or explanation of benefits (EOB), reflecting your costs, to
Reimbursement Fund c/o DMC, Plaza 21, Suite 302, 425 N 21
St., Camp Hill, Pa.17011
and I will do my best to reimburse you.If you wish to be tested, but have not yet had testing, please contact your healthcareprovider and arrange for testing and then submit your claim for reimbursement as notedabove.If you have no healthcare provider, contact the (PADOH) hotline at 1-855-265-4613 forinformation on how to obtain testingIt is important to note that I have always sought to provide nothing butthe safest and best care available to all of my patients.I hope to resume practice and to provide excellent dental care with the highest level ofpatient safety in the very near future. I am sorry for any inconvenience. It is my hope tosee you as a patient again in the near future.
Jacqueline Marcin D.M.D.