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Financial Agreement Form
Dental Plan Details
- No interest.
- Up to 12 months to pay.
- Easy in-house approval.
- Automated repayment.
- No limit to amount.
- No hidden charges.
- Same great service.
- Responsive to what the patient can afford.
- Can be used for any procedure.
- Just takes a few minutes to apply.
- No credit check.
- Free to use.
- Available for both new and existing patients.
- Can be used for outstanding debt.
- Secure payment form.
- You can choose which day of the month to pay.
- Email notification when each payment is sent.
- Confirmation when full payment is complete.
- Powered by MoonClerk and STRIPE.
- Offered exclusively by
- Dr. John Burch DDS.