PERSONAL GUARANTEE PLEASE READ CAREFULLY!Personal Guarantee • September 6th, 2017 • Nevada
Contract Type FiledSeptember 6th, 2017 JurisdictionThe office of Dr. Gregg R Kolebuck offers patients the courtesy of filing insurance claims on their behalf. However, due to the complex nature of dental billing, it sometimes become necessary to seek payment directly from the patient. The Agreement is designed to outline both parties’ responsibility in the collection process and assure the office of Dr. Gregg Kolebuck receive full payment for services and material rendered. This is a legal binding contract and shall be enforced with the laws of the State of Nevada.