Thank you for choosing us as your dental health care provider. To maintain the practice operation and prevent potential misunderstanding, we ask patients to adhere to the financial arrangements regarding their treatment. Payment is required at the time services are rendered. We can offer extended payment for some treatments e.g. orthodontic treatment, please ask our staff for details prior to commencing treatment. Overdue accounts will incur fees. Fees also apply for broken appointments without proper notification. I consent to Greville Dental collecting and keeping information about my health for the purpose of making sure that I receive appropriate care and treatment, and for associated administrative tasks. I understand my relevant health information will be stored by Greville Dental, and that I am entitled to request access to and correction of my health information. I agree to provide this information voluntarily.