Common Contracts

1 similar Financial Responsibility Agreement contracts

Financial Responsibility Agreement and Consent for Services
Financial Responsibility Agreement • May 27th, 2022

Thank 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.

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