dental office financial policy template

Delinquent Accounts After 90 days all accounts that are not paid in full may. Ad 7 Days Free - Create Edit Employment Handbooks Legal Docs - Subscribe Today.


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Thank you for understanding our Financial Policy.

. Deposit Policy Due to the extensive amount of time our staff and doctors devote to preparing and reserving uninterrupted time for. Policy brief purpose. Our goal is to provide the highest quality of dental care and have clear communication of our financial agreement.

Therefore we offer the following payment options. Instructions in red font in parentheses ind. The following describes our Financial Policy.

1 We accept the following forms of payment. FINANCIAL AGREEMENT- PAYMENT IS REQUIRED FOR ALL DENTAL SERVICES AT THE TIME. If you have any questions call our office at 818-986-8060.

Our main concern is that you receive the proper and optimal treatment needed to restore and maintain your dental health. In compliance with the Rule 10804 which requires the Judicial Council of California to adopt financial policies and. STONEGATE DENTAL CARE PC cannot be held responsible for any clauses in your insurance.

We can make arrangements for a monthly payment plan but this must be accomplished prior to the actual procedure. We reserve the right to charge a 3500 fee on all returned checks. Patients should contact their.

Our sexual harassment policy aims to protect men and women in our company from unwanted sexual advances and give them guidelines to report incidents. Financial Policy for all patients Financial Policy for all patients Thank you for choosing us as your dental care provider. Trial Court Financial Policies and Procedures Manual 11th Edition.

Call Los Angeles Office Phone Number 323-933-4444 with questions or. Please read and initial each section confirming that you understand and. The following is our Financial Policy.

We desire to make dental treatment affordable to all of our patients. Review our dental practice policies including insurance financial and cancellation. Ad Download FSF Template Financial Statement.

Customize Print- 100 Free. Build Your Employment Handbooks On Our Easy-to-Use Platform - Quick Free. Financial Policies AD-000013 responsible for the full cost of their treatment plan once preparation of your teeth has begun.

Create Edit Print Financial Statements - Simple Platform - Try Free Today. This form explains to all of our patients the billing process only of the office -- much like a payment agreement for a credit card or billing policies and procedures for utility companies. Therefore if you have any.

You must qualify to use this nancing option. The worker to ensure compliance with the COVID-19 Emergency Temporary Rules can fill out this fill-in template.


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