DENTAL OFFICE FINANCIAL AGREEMENTDental Office Financial Agreement • January 22nd, 2020
Contract Type FiledJanuary 22nd, 2020Thank you for choosing us as your dental care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered part of your treatment. The following is a statement of our financial policy which we require that you read and sign prior to any treatment.
DENTAL OFFICE FINANCIAL AGREEMENT - Eva Balogh D.M.D.Dental Office Financial Agreement • June 16th, 2024
Contract Type FiledJune 16th, 2024Thank you for choosing us as your dental care provider. We are committed to your treatment being successful. The following is a statement of our financial policy which we require that you read and sign prior to any treatment.
DENTAL OFFICE FINANCIAL AGREEMENTDental Office Financial Agreement • February 3rd, 2022
Contract Type FiledFebruary 3rd, 2022Thank you for choosing Sutton Dentistry as your dental care provider. We are committed to your treatment being successful. The following is a statement of our financial policy which we require that you read and sign prior to any treatment.
DENTAL OFFICE FINANCIAL AGREEMENTDental Office Financial Agreement • April 24th, 2024
Contract Type FiledApril 24th, 2024Thank you for choosing ZCYW as your dental care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered part of your treatment. The
DENTAL OFFICE FINANCIAL AGREEMENTDental Office Financial Agreement • February 26th, 2015
Contract Type FiledFebruary 26th, 2015Thank you for choosing us as your dental care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered part of your treatment. The following is a statement of our financial policy which we require that you read and sign prior to any treatment.
DENTAL OFFICE FINANCIAL AGREEMENTDental Office Financial Agreement • April 20th, 2022
Contract Type FiledApril 20th, 2022Thank you for choosing us as your dental care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered part of your treatment. The following is a statement of our financial policy which we require that you read and sign prior to any treatment.
DENTAL OFFICE FINANCIAL AGREEMENTDental Office Financial Agreement • June 25th, 2018
Contract Type FiledJune 25th, 2018Thank you for choosing us as your dental care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered part of your treatment. The following is a statement of our financial policy which we require that you read and sign prior to any treatment.
Dental Office Financial AgreementDental Office Financial Agreement • March 24th, 2022
Contract Type FiledMarch 24th, 2022Thank you for choosing us as your dental care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered part of your treatment. The following is a statement of our financial policy which we require that you read and sign prior to any treatment.
DENTAL OFFICE FINANCIAL AGREEMENTDental Office Financial Agreement • May 25th, 2022
Contract Type FiledMay 25th, 2022Thank you for choosing Grandville Family Dental Care as your dental care provider. We are committed to providing you with the best possible dental care and we would like you to review and sign our financial policy below before your treatment begins. Discussions regarding money are not always easy and we feel this policy will help everyone to understand our financial arrangements. Thank you.
DENTAL OFFICE FINANCIAL AGREEMENTDental Office Financial Agreement • February 7th, 2023
Contract Type FiledFebruary 7th, 2023Thank you for choosing our office for your dental care. We are committed to your treatment being successful. Please understand that payment of your bill is considered as part of your treatment. The following is a statement of our financial policy which we require that you read and sign prior to any treatment.
DENTAL OFFICE FINANCIAL AGREEMENTDental Office Financial Agreement • September 15th, 2022
Contract Type FiledSeptember 15th, 2022Thank you for choosing us as your dental care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered part of your treatment. The following is a statement of our financial policy which we require that you read and sign prior to any treatment.
DENTAL OFFICE FINANCIAL AGREEMENTDental Office Financial Agreement • July 25th, 2023
Contract Type FiledJuly 25th, 2023Thank you for choosing us as your dental care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered part of your treatment. The following is a statement of our financial policy which we require that you read and sign prior to any treatment.
DENTAL OFFICE FINANCIAL AGREEMENTDental Office Financial Agreement • July 28th, 2023
Contract Type FiledJuly 28th, 2023Thank you for choosing Maple Lawn Family Dentistry as your dental care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered part of your treatment. The following is a statement of our financial policy which we require that you read and sign prior to any treatment.
DENTAL OFFICE FINANCIAL AGREEMENTDental Office Financial Agreement • June 17th, 2020
Contract Type FiledJune 17th, 2020Thank you for choosing us as your dental care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered part of your treatment. The following is a statement of our financial policy which we require that you read and sign prior to any treatment.
DENTAL OFFICE FINANCIAL AGREEMENTDental Office Financial Agreement • February 3rd, 2022
Contract Type FiledFebruary 3rd, 2022Thank you for choosing Lawrence J. Sutton, D.D.S. P.A. as your dental care provider. We are committed to your treatment being successful. The following is a statement of our financial policy which we require that you read and sign prior to any treatment.