Cancellation policy:
A cancelled or rescheduled appointment with less than 24 hours may incur a cancellation fee of $50I verify that the details I have provided in this medical history are true and accurate. I understand that providing incorrect information can be dangerous to my (or patient’s) health. It is my responsibility to inform the dental office any changes to medical status. In accordance to the Privacy Act (1988), I authorise any person or company to give information as may be required in response to credit inquiries.