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Forgotten Signature on Dental Claim Form

Оглавление

Date

Patient Street Address City, State Zip

Dear Patient:

At your last dental appointment, we didn’t get your signature on the dental claim form that will be submitted to your insurance company. Please sign where indicated and return the form in the enclosed envelope or drop it off at our office.

Be sure to return this form immediately so this account will be paid quickly. Thank you for your cooperation and the opportunity to provide you with the best in dental care.

Sincerely,

Dentist and Team

Enclosure

Dental Letters: Write, Blog and Email Your Way to Success with CD-ROM

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