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Insurance Coverage Notification

Eau Claire Family Dental

1018 Regis Court,
Eau Claire, WI 54701
(715) 832-8063

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Insurance Coverage Notification( * mandatory to fill )


At Eau Claire Family Dental, we make every effort to help you with your dental benefits.


Please be aware of your benefits and changes to your insurance policy that may have been made by you or your employer prior to your visit. Today, many insurance companies are reducing covered services and reducing levels of reimbursement for dental services that should be have been previously covered or fully reimbursed.


Our goal at Eau Claire Family Dental is to provide you and your family with the highest quality comprehensive dental care. Your knowledge of your dental insurance benefit will help make this care affordable for you and your family.



I understand that by consenting to treatment, I am financially responsible for all charges whether or not they are paid by my insurance carrier. 

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