• Research using dental records is important to improve health care for patients like you.
• Research supports Apple Tree's mission to overcome barriers to oral health.

• Apple Tree wants you to know that its data is used for research.
• Minnesota is the only state that requires permission to use patient records for research. (This is outlined in Minnesota statute 144.295.)

• Apple Tree Dental is always required to protect the privacy of your health information, whether or not you give permission for it to be used for research.
• Apple Tree Dental and its research partners follow applicable privacy laws. Your name and other identifying information are NEVER part of research publications.
• When applicable, research projects are approved by the Institutional Review Board (IRB). The IRB is a group of doctors, nurses, and citizens that review each research study to ensure that patient information is kept private and protected.

• You can change your mind at any time.
• To revoke your consent, send a written request to the address below.

Apple Tree Dental

ATTN: Research Department

2442 Mounds View Blvd

Mounds View, MN 55112

• Information about your characteristics, such as age, health conditions, and dental care, may be used for research.

• Apple Tree works with qualified health researchers whose goal is to advance oral health.
• Examples include the Mayo Clinic's Rochester Epidemiology Project and the Center for Health Care Workforce Studies.

• Selected research projects are posted on our website.