Common Contracts

4 similar Assignment and Release Agreement contracts

PATIENT FINANCIAL RESPONSIBILITY, ASSIGNMENT AND RELEASE AGREEMENT
Assignment and Release Agreement • August 4th, 2021

Dental treatment is an excellent investment in you and your family’s health and wellbeing. We recognize that long range economy is of prime concern as well. The following rights and responsibilities are outlined below to aid in understanding our future dental relationship.

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PATIENT FINANCIAL RESPONSIBILITY, ASSIGNMENT AND RELEASE AGREEMENT
Assignment and Release Agreement • December 23rd, 2020

Dental treatment is an excellent investment in you and your family’s health and wellbeing. We recognize that long range economy is of prime concern as well. The following rights and responsibilities are outlined below to aid in understanding our future dental relationship.

PATIENT FINANCIAL RESPONSIBILITY, ASSIGNMENT AND RELEASE AGREEMENT
Assignment and Release Agreement • March 14th, 2019

Dental treatment is an excellent investment in you and your family’s health and wellbeing. We recognize that long range economy is of prime concern as well. The following rights and responsibilities are outlined below to aid in understanding our future dental relationship.

PATIENT FINANCIAL RESPONSIBILITY, ASSIGNMENT AND RELEASE AGREEMENT
Assignment and Release Agreement • March 4th, 2019

Dental treatment is an excellent investment in you and your family’s health and wellbeing. We recognize that long range economy is of prime concern as well. The following rights and responsibilities are outlined below to aid in understanding our future dental relationship.

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