Financial Responsibility Agreement and Consent for ServicesFinancial Responsibility Agreement and Consent for Services • March 12th, 2013
Contract Type FiledMarch 12th, 2013Thank you for choosing our practice to serve your dental needs. We appreciate the confidence you have placed in us and will do everything possible to warrant your continued confidence. In order to provide quality service and care to our patients, we ask that you please read and agree to our office policy.
Financial Responsibility Agreement and Consent for ServicesFinancial Responsibility Agreement and Consent for Services • March 12th, 2013
Contract Type FiledMarch 12th, 2013Thank you for choosing our practice to serve your dental needs. We appreciate the confidence you have placed in us and will do everything possible to warrant your continued confidence. In order to provide quality service and care to our patients, we ask that you please read and agree to our office policy.