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Thank you for choosing our office for your child’s dental care needs. We are committed to providing exceptional dental care and helping your child achieve ultimate oral health.
**All estimated fees are due 1 week prior to the scheduled surgery date**(You may request to make this payment by phone or through text)
We will gladly verify your dental beneﬁts and process your insurance claims with the following agreement:
A copy of the treatment plan has been provided. The proposed treatment plan is made based on a clinical examination and any x-rays that we were able to obtain. Depending on the temperament of the child we may not have been able to obtain optimal x-rays or complete a thorough examination in the office. Once the child is under general anesthesia the doctor will complete a thorough examination and obtain any further x-rays that are needed. Consequently, the ﬁnal treatment may vary from the proposed treatment.