Office Policies Form
Welcome to Smiles Dental Group. You have many choices when it comes to choosing a dental office, and we are glad that you have chosen us to provide you and your family with dental treatments. Everyone at our office is committed to providing quality dental care in a comfortable environment. Please take a few minutes to familiarize yourself with our office hours and policies.
We hope that your experience with us will exceed your expectations. If we can help in any way, please do not hesitate to ask. Sincerely, The Smiles Dental Group I have read and am aware of the above policies. I understand that I am responsible for the fees associated with the services I receive. Should I choose to direct bill my insurance company, I will be responsible for payment of any unpaid balance the day of service. I consent to the collections, use, and disclosure of my personal information when permitted or required by law.
 
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