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DENTAL SERVICES CONTRACT FLORIDA HEALTHY KIDS CORPORATION AND ARGUS DENTAL & VISION, INC. Effective Date: July 1, 2016201617 Argus Dental Contract Page 1 of73INSURERFLORIDA HEALTHY KIDS CORPORATION
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How to fill out dental services contract
How to fill out dental services contract
01
Gather all necessary information such as patient details, dental treatment plan, and cost estimates.
02
Review the contract form provided by the dental services provider.
03
Read and understand the terms and conditions of the contract thoroughly.
04
Fill in the required personal information of the patient, including name, address, contact details, and insurance information.
05
Carefully review the sections related to the services to be provided, including the specific treatments, duration, and any exclusions or limitations.
06
Fill in the financial information, including the cost of services, payment terms, and possible financing options.
07
Pay attention to any cancellation or refund policies outlined in the contract.
08
If there are any questions or doubts, seek clarification from the dental services provider before signing.
09
Sign and date the contract.
10
Keep a copy of the signed contract for your records.
Who needs dental services contract?
01
Individuals seeking dental treatments and services
02
Patients undergoing complex dental procedures
03
People who want to formalize the agreement and expectations between themselves and the dental services provider
04
Those who want legal protection and clarity regarding the dental services to be provided
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What is dental services contract?
A dental services contract is a legal agreement between a dentist or dental clinic and a patient, outlining the terms and conditions of the services provided.
Who is required to file dental services contract?
The dentist or dental clinic is required to file the dental services contract.
How to fill out dental services contract?
To fill out a dental services contract, both parties must provide their personal information, details of services to be provided, payment terms, and any other relevant information.
What is the purpose of dental services contract?
The purpose of a dental services contract is to protect both the dentist and the patient by clearly outlining their rights and responsibilities.
What information must be reported on dental services contract?
The dental services contract must include the names and contact information of both parties, a description of the services to be provided, payment terms, and any other relevant details.
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