Financial Policy

 

Two business day cancellation policy in effect for all appointments ** Read details below

If we are ever considering selling all or part of our dental practice, qualified potential purchasers may be granted access as part of the due diligence process to patient information in order to verify information important to the potential sale. If this occurs, we will take steps to ensure that the prospective purchaser safeguards all personal information.

 

Dentists are regulated by the Alberta Dental Association and College which may inspect our records and interview our staff as part of its regulatory activities in the public interest.

 

As a patient in our clinic, it will be your responsibility to keep scheduled appointments. The clinic will require notification of cancellation of at least two full business days prior to the appointment during the week and appointment for Saturdays including Dr. Gill’s appointments. For all of Dr. David’s & Dr. Daya’s root canal appointments we require three full business days (Excluding SUNDAYS & Holiday’s) notice in order to cancel or re-schedule.

 

1. All appointments booked for two hours or more require a $100 deposit which will be applied towards treatment done that day.

2. Any appointments missed or cancelled without sufficient notice are subject to a $100 administrative charge. (Including emergencies)

3. All appointments for Ortho Study Record (OSR), Root Canals (RCT), Zoom Treatment (2 hrs) or appointments booked for two hours or longer have a three business day cancellation with $100 deposit.  

4. Release of x-rays maybe subject to an administration fee.

Patient portions outstanding, after insurance coverage or otherwise, have to be paid within 30 days of treatment done if they are not collected the day of the treatment. If balance payment is not made promptly then there will be an administrative charge after 30 days of outstanding non-payment and the account will be sent to collections without notice and 28% interest will be charged. Any no show or missed appointments are subject to the same charging policy which includes all appointments made from any one of our websites. Please note that we do not accept any change of appointments or cancellations via email or online submissions through any of our websites. All emergency and last minute appointments are given using a credit card number on file only You as a patient authorize us to charge the credit card on file if you fail to show up for the appointment. All phone consultations are subject to a phone consultation charge of $50 at the discretion of the dentist.

I understand and agree that Dental health and accident insurance policies are an arrangement between an insurance carrier and me. Furthermore, I understand that Dr. Gurpreet Gill’s office will prepare all necessary reports and forms to assist in making collections from the insurance company and that any amount authorized to be paid directly to Dr. Gurpreet Gill will be credited to my account upon receipt. However, I clearly understand and agree that all my services rendered me are charged to me and that I am personally responsible for payment. Emergency patients for their first visit have to pay upfront for their treatment and all subsequent visits can be direct billed at the patient’s request.

I also understand that if I suspend or terminate my care at this office, any outstanding charges for professional services rendered to me will be immediately due and payable. I agree that I will be responsible for all attorney and legal fees if legal action becomes necessary to collect this account.  

Please be advised that we DO NOT accept any appointment cancellations by email or by our online appointment request system and cancellations not made by phone will be subject to the above charges. We only accept cancellations over the phone during regular business hours and no cancellations are accepted on Sunday's and stat holidays.

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I do not accept your online financial policy

 

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