Common Contracts

1 similar Patient Financial Agreement contracts

MAEDOT SEMO, D.M.D.
Patient Financial Agreement • May 20th, 2020

In our effort to provide you with comprehensive, evidence-based dentistry that consistently exceeds the standard of care, it is imperative that you have a clear understanding of our financial policy. This Financial Agreement is in line with our philosophy of being informative, honest and forthright with regards to your financial responsibility. In the process, we also strive to provide you with an understanding of the role of dental insurance as it pertains to your treatment needs.

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