Patient Testimonials

Patient satisfaction is our top priority at Sullivant Dentistry. In the event you have an issue or problem with the services provided by Dr. Sullivant and/or our team, we would appreciate the opportunity to speak with you about it personally. Please contact our office as a first step toward resolving any patient concern.

Please click one or more icons to leave us a great review on our social media pages as well:

Patient Testimonial

You've been a patient of Sullivant Dentistry and you've seen first-hand how effective treatment can be. Help us share your story with others who will benefit from treatment.

Have our services relieved your pain and given you back the ability to enjoy your smile? Have we helped you improve your dental health? Has treatment gotten you back in the game?

Please fill out the short questionnaire below to aid us in helping others by sharing your testimonial. We love to hear how we have helped improve the health, wellness and quality of life of our patients. Your testimonial could help improve the lives of others by showing how Sullivant Dentistry has positively impacted your life.

What were you treated for and how has the care you received at Sullivant Dentistry improved your life?
What would you say to a friend or family member who was curious about Sullivant Dentistry?
What has pleased you most in your course of treatment at our practice?
Additional notes/comments:
Please check one of the items below:

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Consent to Release

I, the undersigned, do hereby grant to Sullivant Dentistry and/or our Website Administrator (Brooks Jeffrey Marketing Inc.) the right and license to use and to authorize use of patient testimonial information and any photos of me taken at Sullivant Dentistry and grant the same right for all photos taken by me and/or supplied by me to Sullivant Dentistry, for any purpose related to Sullivant Dentistry; to edit, crop, and incorporate the testimonial information and images into any production related to Sullivant Dentistry, at the discretion of Sullivant Dentistry, in any manner or media, in its public relations and marketing campaigns.

I understand that I am providing the testimonial information to Sullivant Dentistry and that my treating healthcare provider will not be providing any protected information to the media or the public, including private health information in my medical records, the confidentiality of which may be protected by federal and state statutes and regulations, including the Health Insurance Portability and Accountability Act (HIPAA).

I waive the right of prior approval and hereby release Sullivant Dentistry and its agents and assigns from any and all claims for damages of any kind based on the use of my testimonial or information in the testimonial.

Right to revoke: I understand I have the right to revoke this Release at any time by providing written notice of my revocation and submitting it to Sullivant Dentistry. I understand that revocation of this Release will not affect any action Sullivant Dentistry took in reliance on this Release before receiving my revocation.

By signing below, I agree and acknowledge that I have read and understood this Release and agree to all terms described. I am of legal age and freely sign this Patient Information/Photo Release for Sullivant Dentistry and/or its agents and assigns.

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Sullivant Dentistry • 727 North Cardinal Drive • Mountain Home, Arkansas 72653 • Phone: 870-425-4242 • Fax: 870-425-4243
Sullivant Dentistry
727 North Cardinal Drive • Mountain Home, Arkansas 72653
Phone: 870-425-4242 • Fax: 870-425-4243
Sullivant Dentistry
727 North Cardinal Drive
Mountain Home, Arkansas 72653
Phone: 870-425-4242
Fax: 870-425-4243