ProSystems offers a trio of financial forms designed by Burton R. Pollack, DDS, attorney-at-law, one of the nation`s foremost dental risk managers. The series of forms include:
ProSystems offers a trio of financial forms designed by Burton R. Pollack, DDS, attorney-at-law, one of the nation`s foremost dental risk managers. The series of forms include:
- Patient Billing & Payment Record
- Assignment of Benefits Card
- Financial Agreement/Treatment Esti-mate Form
Sample copies of these forms and an accompanying free guide describing their use can be obtained by calling ProSystems at (800) 232-3366.
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