In consideration for Fern Creek Dentistry to provide you with dental treatment, you agree all fees and co-payments are due and payable on the day that treatment is rendered to you unless other payment arangements have been agreed to in writing by kClinicName . Cash, Check, Visa* MasterCard*, Discover*, American Express*, and Care Credit*are all acceptable methods of payment.
If your account balance is not paid in full within 30 days of treatment being rendered, you agree to be subject to interest charges of .66% per month (8%apr). In the event that your account becomes delinquent and is not brought current, you understand that in addition to your outstanding balance, you agree to be responsible for all collection costs (33% of balance due) and reasonable attorney fees incurred by or on behalf of Fern Creek Dentistry. You understand that you are solely responsible for payments in full of all account you may have with our office.