AGREEMENT TO PAY:
You will be expected to pay deductibles and co-pays at the time of service. We accept cash, checks, credit cards & Care Credit.
The undersigned accepts the fees charged as a legal and lawful debt and agrees to pay said fees, including any/all collection agency fees, (33.33%), attorney fees and/or court fees, if such be necessary.
You agree, in order for us to service your account or to collect monies you may owe, PROFESSIONAL LANE DENTAL and/or our agents, may contact you by telephone at any telephone number associated with your account, including wireless telephone numbers, which could result in charges to you. We may also contact you by sending text messages or emails, using any email address you provide to use. Methods of contact may include using pre-recorded/artificial voice messages and/or use of automatic dialing device, as applicable.