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PEAK FAMILY DENTAL FINANCIAL POLICY Patient Agreement and Form
Not give adequate notice if I am unable to keep my appointment the reservation fee will be forfeited. For appointments scheduled for less than 90 minutes in length a cancellation fee may apply if I do not provide notice of cancellation at least 48 We make every effort to schedule appointments that are most convenient for you and that fit your personal schedule. Minor/Child Consent I being the parent or legal guardian of do here by request and authorize the dental staff to perform necessary...
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