scheduling policy

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  • 8/3/2019 Scheduling Policy

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    3824 S Boulevard STE 110Edmond, OK 73013

    OFFICE SCHEDULING POLICYHeath Whitfield, D.D.S., MSD

    T: 405.513.8811F: 405.513.7083

    Please note the scheduling guidelines for our pediatric dental office.

    We request you cancel or reschedule any appointment at least 24 hours prior to your appointment. Iyour child or family misses a second appointment, your child and family may be dismissed from our officIf you arrive over 15 minutes late to your childs appointment, you may be asked to reschedule as thedelay affects not only the physician, but also other patients scheduled after you. You are required to brinthe patients most current insurance card to every appointment.

    ______________________________________Parents signature

    ______________________________________Insured signature

    ______________________________________Witness

    ______________________________________Date