Common Contracts

2 similar Family Dentistry Financial Agreement contracts

Paoli Family Dentistry Financial Agreement
Family Dentistry Financial Agreement • March 15th, 2022

We, the staff of Paoli Family Dentistry, thank you for choosing us as your dental provider. We consider it a privilege to serve your needs and we look forward to doing so. We are committed to providing you with the highest level of care and to building a successful provider-patient relationship with you and your family. We believe your understanding of our patients’ financial responsibility is vital to that provider-patient relationship, and our goal is to not only inform you of the provisional aspects of that financial policy, but also to keep the lines of communication open regarding them. If at any time you have any questions or concerns regarding our fees, policies, or responsibilities, please feel free to contact our Office Manager at 610-647-0353. We believe this level of communication and cooperation will allow us to continue to provide quality service to all of our valued patients.

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Paoli Family Dentistry Financial Agreement
Family Dentistry Financial Agreement • November 2nd, 2016

We, the staff of Paoli Family Dentistry, thank you for choosing us as your dental provider. We consider it a privilege to serve your needs and we look forward to doing so. We are committed to providing you with the highest level of care and to building a successful provider-patient relationship with you and your family. We believe your understanding of our patients’ financial responsibility is vital to that provider-patient relationship, and our goal is to not only inform you of the provisional aspects of that financial policy but also to keep the lines of communication open regarding them. If at any time you have any questions or concerns regarding our fees, policies, or responsibilities, please feel free to contact our Office Manager at 610-647-0353. We believe this level of communication and cooperation will allow us to continue to provide quality service to all of our valued patients.

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