We wish to stress that the financial responsibility for services rendered rests with the patient and his/her family, regardless of any insurance coverage, your insurance policy is a contract between you and your insurance company. We cannot guarantee payment or coverage of your claim.

I agree to pay all fees and charges for services rendered at Steeles McLaughlin Family Dentistry for my self and my family. I agree to pay all charges when presented with a statement unless prior credit arrangements are agreed upon in writing.