Dental Policies Fort Worth
Our Appointment and Financial Agreement Policy
Our commitment to exceptional care extends beyond the treatment room. Transparency and clarity are at the heart of our patient financial policy. Let’s work together to make your healthcare experience stress-free.
Appointment and Financial Agreement
Appointments

We make every effort to stay on or ahead of schedule. We reserve your appointment time especially for you so that you and the other patients are not kept waiting unnecessarily. Missed appointments hurt you, other patients who may need emergency care, and our practice. You are welcome and encouraged to request a copy of your appointment agreement.
- As a courtesy, we send a reminder of your appointment, but we are not required to. It is your responsibility to remember your appointment. Always notify us of any changes in your contact information.
- If you are late for your appointment, we may need to reschedule.
- If you need to change or reschedule, we require at least 24 hours’ notice prior to your appointment. We reserve the right to assess a $50.00 fee per hour reserved to patients who miss their appointment or cancel without proper notice.
- Minors cannot be seen if not accompanied by a guardian at the time of their appointment. This guardian must be able to make payments as well as decisions in case of an emergency.
- As a courtesy, we will file your insurance, but we are not required to. If you have any changes to your insurance, you must notify us at least 2 business days prior to your appointment. This allows us to prepare for changes in coverage prior to your visit that may affect your payment due. We cannot guarantee same-day insurance verification. If that is the case, full payment will be due at the time of your visit. Once the insurance payment has been received, you will be reimbursed for any monies due.
- If you have any questions about the cost for your upcoming treatment, please refer to your treatment estimate or contact our office prior to your appointment. Payment is collected at the time of booking your appointment.
Finances

We pride ourselves on being honest and transparent with our patients. Therefore, we provide you with our financial policy to ensure no misunderstandings arise regarding the payment of your dental care. We strongly suggest you read through all of it to avoid any upset in the future. You are welcome and encouraged to request a copy.
- Full payment of treatment is due no later than the date treatment is completed. This includes deductibles, copays, and any pending balance.
- Cash, Personal Checks, Visa, MasterCard, American Express, and Discover are acceptable forms of payment. Checks returned to our office from your financial institution are subject to a $25.00 returned check fee. This fee covers the bank service charge.
- Any insurance you provide is an agreement between you and your insurance provider. We are not a party to this agreement. Any estimate of what your insurance may cover is not a guarantee of coverage.