FINANCIAL POLICY AND CREDIT CARD AUTHORIZATION FORM

FINANCIAL POLICY AND CREDIT CARD AUTHORIZATION

Please print and fill out this form then bring it with you at your Dental Appointment. If you don't have access on the printer, please let us know ahead of time so we can have one ready for you at the Front Desk on the day of your appointment. Thank you!

Testimonials

The Best Dentist in my life who have saved and my bad teeth repaired to restored in perfect health!No more bleeding and Teeth infection any more Thanks Dr William Wong

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This is a beautiful, clean and tidy dental clinic I ever have been. staffs are very friendly and compassionate. Dr. Wong are very attentive to patients and treat them with heart. He handle children patients are very patience and understanding too.

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