Financial Responsibility Agreement and Consent for ServicesFinancial Responsibility Agreement • June 13th, 2019
Contract Type FiledJune 13th, 2019Thank you for choosing our team of dental professionals to serve your dental needs. We are committed to providing you with the highest quality care. We appreciate the confidence you have placed in us and will do everything possible to continue to warrant your confidence as we serve you. In order to continue providing outstanding care to all of our patients, we ask that you please understand and agree to the following office financial policy.