Please come prepared by gathering your needed information and completing these forms beforehand. Please, do NOT submit any confidential information through our website contact forms. Thank you.
TREATMENT PLAN & FINANCIAL AGREEMENT
To assure a mutual understanding of our fee structure and payment requirements, we require each patient to read and sign this brief explanation and agreement before beginning treatment.
Your personal information is very important to us.
Need help with any forms or desire some clarification? We’d be happy to answer your questions today: 541-687-1499.