APPLE DENTAL confirms that its Health Care providers are professionals, but does not guarantee the quality of their services or products. Quality of care complaints concerning any APPLE DENTAL provider should be addressed to the appropriate licensing agency in your state.
APPLICATION - AUTHORIZATION:
I wish to become a member of APPLE DENTAL and understand my membership is on an annual basis and that i can terminate it on any anniversary date of my initial enrollment. It is my understanding i have to option of paying for the membership on an annual or monthly basis. The latter will include two monthly payments plus $30.00 enrollment fee. (FIRST YEAR ONLY) For monthly membership payment, I authorize the company to initiate debit entries to my (our) checking account or credit card. I understand it is the responsability of APPLE DENTAL and myself to keep my membership in force. To guarantee uninterrupted service I approve of the Company's automatic montly renewal of my membership unpon expiration. this authority shall remain in effect until revoked by me in writing. i reserve the right to pay for membership on an annual basis if i desire. By accepting the plan, I am accepting the terms of this application and permission to be called by the company's computers.