Dental Office Application With Payment Plans In Allegheny
Category:
State:
Multi-State
County:
Allegheny
Control #:
US-00413-1
Format:
Word;
Rich Text
Instant download
Description
This form is an Employment Application. The form provides that applications are considered without regard to race, color, religion, or veteran status.
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We offer the complete range of general dentistry services, including teeth cleanings, fillings, and sedation dentistry. Allegheny Oral and Maxillofacial Surgery offers the highest quality of Oral Surgery while providing personalized care to every patient.Download and print the AHN Financial Assistance Application. Complete the form and submit it with required proof of income. To apply for credit via ONEderful, please click on the link below and complete the online application. Apply for ONEderful here. Download the appropriate paper application from the list below and mail it to your local county assistance office. Thank you for your interest in using the Medical Assistance Transportation Program (MATP). We accept Medicaid and many insurance plans. We also are happy to see you if you do not have any dental insurance.