FORMS
info@keystonedentalcare.com
After you have applied:

1. After your application is completed, it will be reviewed and information verified.

2. When your application is approved, you will be called and given an appointment
time for treatment. At this time you will be informed of your co-pay. You will be
charged on a sliding scale based on your income.

3. You must pay for treatment when you come for each appointment. We do not
    accept checks or debit/credit cards.

NOTICE:

Be sure to call at least 24 hours in advance if you cannot keep your appointment.

There is a $25.00 charge for all broken appointments, this must be paid before
you can reschedule your appointment.    
info@keystonedentalcare.com

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