You will be asked to make a payment for services on the day provided unless other arrangements have been made in advance. You will be responsible for any financial obligations incurred in connection with dental treatment rendered on my behalf or on behalf of my child.
Financial Arrangements Office Policy for Surgical Treatment
Payment Option 1: Cash (or check) in (Paid in full)
Payment Option 2: Visa, MasterCard, Discover Card (Paid in full)
Payment Option 3: Care-Credit (Paid in full)
Payment Option 4: Postdated checks (Half down, other half paid over 90 days)
You information is safe! The Health Insurance Portability and Accountability Act (HIPAA) provides safeguards to protect your privacy. Patient information will be kept confidential except as is necessary to provide services or to ensure that all administrative matters related to your care are handled appropriately.