*** Over a $1000 VALUE FOR $94.00! ***

We feel every patient in our practice deserves to have a smile that they can be proud of. We are excited to offer our patients a unique program called Whitening for Life!

When you come to our office for your preventative examination, x-rays, and cleaning, we will provide you with custom bleaching trays and materials for a one time enrollment fee of $94. Then, at each recommended preventative visit, we will give you a complimentary tube of whitening gel. This ensures that you will be able to keep your teeth bright and beautiful for life!

The details of our Whitening for Life program are listed below. Please review the policy and sign below acknowledging receipt and understanding of the requirements for eligibility. We require that you comply with all the conditions stated below to remain eligible for the Whitening for Life program.

  1. Be a new patient of record and at least 18 years old.
  2. Have had a complete dental examination by Dr. Cutler with recommended x-rays, and cleaning or periodontal maintenance by our hygienist.
  3. Do not have active, untreated gum(periodontal) disease, decay (caries), root sensitivity, oral cancer, etc.
  4. Agree to, read and sign the whitening consent form.
  5. Must keep appointments for regular scheduled cleaning (every 6 months) or periodontal maintenance, exams, and necessary x-rays.
  6. If a change comes up in your schedule, we require 48 hours notice so other patients can be served during your previously scheduled appointment. Also, we require that you reschedule your appointment within two weeks of the previously scheduled appointment date.
  7. A maximum of one whitening solution refill will be rewarded at each re-care appointment, but not more than twice annually.
  8. Lost or destroyed applicator trays will be replaced at your cost.
  9. We reserve the right to change the whitening product type at anytime.
  10. We reserve the right to discontinue your enrollment in the Whitening for Life program at anytime if deemed necessary for any reason.
  11. Failure to follow any of the above patient responsibilities will result in termination of the Whitening for Life program and normal fees will apply for any future services associated with teeth whitening.



To enroll in the Whitening for Life program please print and sign the Whitening for Life Agreement and bring it to your first appointment.

Arnold Cutler, DDS Inc BBB Business Review


 


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