A formal, written instrument outlining the terms and conditions under which a dental practice agrees to provide treatment to a patient, who in turn commits to remitting payment in installments over a defined period. This document typically details the total cost of treatment, the amount of each payment, the payment schedule, any applicable interest or finance charges, and consequences for late or missed payments. An example includes a schedule where a patient agrees to pay \$100 per month for 12 months to cover the cost of a \$1200 crown.
This type of documentation is important for both the dental practice and the patient. For the practice, it provides legal protection and clarifies expectations regarding payment, reducing the risk of financial loss due to unpaid bills. For the patient, it offers an opportunity to access necessary dental care that might otherwise be unaffordable, allowing for budgeting and manageable payments. Historically, such arrangements have evolved to make dental care more accessible and affordable, reflecting the growing recognition of the importance of oral health.