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Financial Policy
Two business day cancellation policy in effect for all appointments
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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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