Common Contracts
3 similar Office Policy Agreement contracts
Office Policy Agreement / HIPAA NoticeOffice Policy Agreement • September 24th, 2021
Empire Dental P.C. takes pride in providing “The Ultimate Patient Experience”. Our Patients receive the upmost respect and consideration. It is important that your account is up to date and current. We are committed to keeping the cost of care affordable. The fees quoted are estimated only based on the information provided by you and the insurance company.
Office Policy Agreement / HIPAA NoticeOffice Policy Agreement • April 5th, 2021
Empire Dental P.C. takes pride in providing “The Ultimate Patient Experience”. Our Patients receive the upmost respect and consideration. It is important that your account is up to date and current. We are committed to keeping the cost of care affordable. The fees quoted are estimated only based on the information provided by you and the insurance company.
Office Policy Agreement / HIPAA NoticeOffice Policy Agreement • March 15th, 2021
Empire Dental P.C. takes pride in providing “The Ultimate Patient Experience”. Our Patients receive the upmost respect and consideration. It is important that your account is up to date and current. We are committed to keeping the cost of care affordable. The fees quoted are estimated only based on the information provided by you and the insurance company.
