Please read and sign at the bottom, acknowledging that you were informed of these policies. Let us know if you have any questions about our Office Policies. Thank You
Thank you for choosing Broadway Smiles Dental to serve your dental care needs. We provide high quality dental care to our patients and are committed to your treatment being successful. Please understand that your financial obligation is considered part of your treatment. In the interest of good dental care practice, it is desirable to establish a credit policy to avoid misunderstandings. Payment f or all services rendered is due the day of service unless prior arrangements have been made to assist our patients, we offer the following methods for taking care of their account in our office.
The following financial arrangements are accepted for all services over $3,000
We offer 6 or 12 months deferred interest payments (for charges over $200) with credit approval through an outside finance company through Care Credit. (Credit approval is required).
Dental Insurance: As a courtesy, we will gladly bill your insurance when you provide us with the current information and any necessary forms. Our estimates regarding your dental insurance are given as carefully as possible. These estimates are based on information currently available and past history of any specific insurance company. However, your insurance carrier will ultimately decide on the benefit to be released. Our financial agreement with you will include your estimated dental insurance payments but you are responsible for ALL treatment fees.
If you refer a family or friend to our office, and they schedule an appointment and get any dental treatment done in our office, we will grant the referring patient a $50 discount towards their next dental visit.
No shows and late cancellations are not acceptable. Failure to make an appointment or cancel an appointment at the last minute not only compromises your health but also inconveniences other patients who may have requested an office visit during your scheduled appointment. If you cannot keep your scheduled appointment, except in the case of an emergency, you are expected to call within 24 hours of your appointment to reschedule the appointment. There is a $35 fee for all no show or late cancelation appointments, and this fee is not covered by insurance. We will not offer appointments to patients who fail multiple appointments without having given us proper notice.
Lateness: Timeliness required and expected of all of our patients. If running late to your appointment, please call us and let us know so that we can make any adjustments to our schedule or to reschedule your appointment for a later time or date.
Missed Appointment: If you miss your appointment, please call us to reschedule. It is critical to your health to do so to avoid any setback in the care and maintenance of your teeth and gums.
Confirmations: Patients are required to confirm their appointment and to communicate with us if any lateness, rescheduling, or cancellation may occur. If a patient does not confirm their appointment, we will assume that you will not be attending and your appointment time might be given to another patient.
Delinquent accounts will have to be turned over to a Credit Reporting Collection Agency.
Thank you for Understanding our Financial Policy. Please let us know if you have any questions or concerns
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