Appointmrent contract 2026

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  1. Click ‘Get Form’ to open the appointment contract in the editor.
  2. Read each statement carefully. Initial next to each statement to confirm your understanding of the fees associated with no-shows and late cancellations.
  3. In the designated field, print your name clearly as the patient. This ensures accurate identification for your appointment.
  4. Enter your date of birth in the provided space. This information is crucial for verifying your identity.
  5. Sign the form where indicated, confirming that you agree to the terms outlined in the contract.
  6. Finally, select ‘Submit’ to send your completed form directly to the front office staff or download it for your records.

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