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Patients Name: Patients Date of Birth: I understand the following financial responsibility: Patients without dental insurance: All fees are due at the time services are rendered, unless other arrangements
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Scheduling agreement designation refers to the identification of the agreement terms between a buyer and seller.
Both the buyer and seller are required to file scheduling agreement designation.
Scheduling agreement designation can be filled out by providing agreement terms, dates, and signatures of both parties.
The purpose of scheduling agreement designation is to establish clear terms and expectations for future transactions.
Information such as agreement start and end dates, quantity of goods, pricing, and delivery terms must be reported on scheduling agreement designation.
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