Common Contracts

1 similar Patient Financial Agreement contracts

JUBILEE FAMILY DENTISTRY - PATIENT FINANCIAL AGREEMENT
Patient Financial Agreement • October 9th, 2019

Thank you for choosing us as your dental care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered part of your treatment. Since our practice is also a business with obligations that must be met, we ask that all patients pay for their treatment on the day of each visit to our office. The following is a statement of our financial policy which we require that you read and sign prior to any treatment.

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