Common Contracts

Contract

January 21st, 2016

• Filed
  January 21st, 2016

Patient Agreement v1.21.16 Last Name: First Name: DOB: Thank you for choosing Kildaire Family Dental! Our practice strives for open and honest communication with our patients in order to serve you well. We put forth our best efforts toward patient care and strive to continually develop our clinical skills and office operations to make your experience better. To better serve all of our patients we have developed the following policies. Attendance PolicyKildaire Family Dental strives to provide all of our patients with quality care in their scheduled time slots. When you schedule an appointment, that time is reserved with your provider especially for you, so that we may be dedicated to your care. We ask that you arrive on time and notify us 2 business days in advance of any needed changes to your appointment. If you need to reschedule a Monday appointment please let us by Thursday so that we may offer that time slot to other patients. Late Arrival for Appointments – If you are 15 minute