By signing or sending this Rx slip (or a substitute thereof) to Innovative Dental Arts (IDA), I agree to abide by all the terms and policies listed herein. IDA is not responsible for incidental or consequential damages, including inconvenience, lost income, chairtime or pain and suffering.
1. All accounts are payable within 15 days of the statement date. Any amounts not paid within the terms are subject to a monthly finance charge of 1.5% of the unpaid balance. In addition, the account is subject to COD status whereas the unpaid balance will be added to the cost of the case(s) being delivered. All case and items sent will remain the property of IDA until the balance is paid in full. A minimum of $25.00 will be charged for all checks returned to IDA. Any legal fees related to collections are the responsibility of the client. Client agrees that all legal claims and or disputes shall be governed by the Commonwealth of Pennsylvania and submit to exclusive jurisdiction of and be in venue of.
2. For a period of five years from the date of invoice for crown & bridge items, and one year for removable products, we guarantee your complete satisfaction with the workmanship and materials of the appliance you purchased. This warranty is in lieu of all other warranties, whether expressed, implied or written by any agent, broker, distributor, employee or representative of IDA. Incidents where there is failure of supportive tooth or tissue structures, improper adjustments, improper dental hygiene, abuse or accidents make this guarantee null and void.
3. If the appliance is not acceptable at the time of receipt or at the time of insertion, we shall adjust, repair or replace the appliance at no charge. Simply return the prosthesis with the original model work and an explanation of the problem with your request for either adjustment, repair, replacement or refund. If a doctor requests a remake of a case with a change in the design, restoration type, or shade from the original RX, it will be subject to charge.
CONDITIONS - Prosthesis must be inserted by a licensed practicing dentist or prosthodontist within one month of fabrication. Patient must adhere to semi-annual cleanings and exams.