drlauratorrado.com

To the best of my knowledge the above information is correct. I will inform this office of any change.
 I consent to the taking of photographs   and X-rays before, during and after treatment and to the use of same by the doctor in scientific presentations or demonstrations.
Insurance: We provide services for our patients with the understanding that they are responsible for payment in accordance with our financial policy. We will prepare and submit forms and reports to assist you in obtaining maximum benefits available, but in no case are treatment  recommendations or fees affected by the presence or absence of my insurance benefits . I  authorize  benefits . I authorize my insurance benefits to be paid directly to the dentist.
Collection : In the event the balance becomes more than 60 days overdue, billing may be turned over to an outside collection agency. The party listed above agrees to pay interests, collection and other legal expenses related collection of fees owed. Waiver of any breach of any time or condition shall not constitute a waiver of any further  term or condition.