Financial Responsibility
As we expect full payment at time of service, please know that we are sensitive to your financial interests. Our treatment coordinator will assist you with the many financial options we make available to suit your individual needs.
We honor cash, check, VISA, MasterCard, American Express, Discover and
CareCredit.
I/We agree and personally guarantee, in consideration of services and material provided by Dr. John J. Blevins to be responsible for payment in full of all services rendered on my behalf or my dependents of the dental bill.
In the event that this matter is turned over to an attorney or third party for collection, I/We agree that I/We shall pay twenty-five percent (25%) attorney’s or third party’s fees, interest on the unpaid principle balance at the rate of eighteen percent (18%) per annum, and all costs.
