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The General dentist standard gift
certificate language reads as follows:
This Gift Certificate is issued by Dr.___________ (hereinafter referred to as
Doctor). Office located at___________________. Telephone number____________.
This Gift Certificate has no cash value. This Gift Certificate does not expire.
This Gift Certificate is fully transferable to family and friends. Only one Gift
Certificate may by used per Dental Patient/Gift Certificate holder per lifetime
at Doctor’s office. No copies of this Gift Certificate will be accepted. This
Gift Certificate is not valid or redeemable with any other offer. This Gift
Certificate cannot be used toward previous dental services performed at Doctor’s
office. This Gift Certificate must be surrendered at time of dental services
delivered. This Gift Certificate is only good at Doctor’s office. This Gift
Certificate is only good for dental services. No minimum purchase for dental
services is required. This Gift Certificate may not be used for products sold at
Doctor’s office (i.e. toothbrushes, mouth rinse etc.) This Gift Certificate is
good toward the gross normal daily fee schedule of Doctor’s office before any
other adjustments. The presenter of this Gift Certificate agrees to abide by All
State laws and Doctor’s office policies and procedures. It is the intent of
Doctor’s office to provide the same level of high quality dental services to the
Gift Certificate holder as it does to all other dental patients that utilize the
care of named Doctor’s office. This Gift Certificate should not be re-sold. All
insurance claim amounts shall be filed net of the Gift Certificate amount
applied to the procedure performed.

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