Financial Responsibility Agreement and Consent for ServicesFinancial Responsibility Agreement and Consent for Services • February 12th, 2010
Contract Type FiledFebruary 12th, 2010Thank 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.