Thank you for choosing Element Dental & Orthodontics - Spring for your dental needs. In an effort to better serve you, we would like to take the time to explain the billing process and appointment policies at our office.

Once you provide the office with your dental insurance, we call your insurance company and verify your benefits within 24 hrs of your appointment. The information we receive from your insurance company is only an estimation of coverage and not a guarantee. After you have been seen in our office, we will file a claim to your insurance company on your behalf. If the insurance company does not cover the estimated amount in full, you will receive a statement in the mail and be responsible for the remaining account balance.

CANCELLATION OF AN APPOINTMENT
In order to be respectful of every patient’s needs, please be courteous and call our office promptly if you are unable to attend an appointment. This time will be given to someone who is in urgent need of treatment. We ask that you make an attempt to call at least 24 hours in advance.

MISSED APPOINTMENT POLICY
A missed appointment is an appointment that was not cancelled in advance.
A missed appointment will result in a fee of $25.

LATE ARRIVALS
In an effort to serve our patients in a timely manner, we ask that you arrive on time for your scheduled appointment. In the event you are running late, please call the office. If you are more than 15 minutes late to your scheduled appointment, you may be asked to reschedule.

CELL PHONE POLICY
As a courtesy to other patients and in an effort to maintain our schedule, we request that cell phones be put away while the doctor, hygienist or assistant is in the room with you. I have read and understand the “Practice Policies”. I have read and understand the billing process at Element Dental & Orthodontics - Spring