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Form 8484 online Naperville Illinois: What You Should Know

Call 773.388.2377 to schedule an appointment. Online Scheduling | Premier Dental Center | Naperville, Illinois Schedule an appointment at a time that's convenient for you! Just select an appointment option below and take a few minutes to provide us with information  that can help us to best serve you!  Call 773.388.2377 to schedule an appointment. Fees: 1. A fee for medical records will be incurred regardless of the service or service type you choose. We accept cash and checks only. The fee for an outpatient service varies depending on the type of visit. We do not accept debit or credit cards. 2. An initial payment of 45 is required when you first contact our office. A 15 flat 45 initial payment will be charged for services not completed. A 70 late fee will be charged for late payment of any amount. For payment plans, call or stop by to set up an account. Payment plans will be available for all services not completed. Payment plans will be set up to ensure that your fees are paid on time, and you are billed for all services completed on time. When you visit our office, the following information will be requested, depending on the service that you choose: Complete your information in the “Online Records Request to Schedule” form Complete your information in the “Complete Information” form and bring any supporting documents for us to review If you choose to receive your appointment through the Internet via our online scheduling system, you will be asked to set an appointment time and a pickup location. If at any time, you do not wish to schedule an appointment, or if you have any other questions, please call and tell us what was wrong. As a result, we will be more than happy to walk through the steps you should follow to set up an appointment. Scheduling an Appointment You may schedule a non-emergency appointment through our Online Schedule or your local Health Department office. Or you may call at. If you are on vacation, please call. Call us at or call us at with questions about this form by filling out and submitting the form online.

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