This is NOT dental insurance rather a savings plan. This plan serves as an exclusive agreement between our patients and our practice. This savings plan cannot be used in conjunction with dental insurance or any other discounts. This plan is only valid at this dental office. Plan fees are subject to change.

- If you are a current patient enrolling in Harbor City Dental's Savings Plan, your account MUST have a ZERO balance.

- The plan is not retro-active and will become effective on the date of enrollment.

- It is the member’s responsibility to utilize the services included in this agreement within their plan year limit. Any unused benefits will not be carried over or refunded. The plan is non-transferable.

- In exchange for the care provided under this plan, the covered member agrees to pay all balances in full at the time of treatment. If treatment is not paid in FULL at the time of service, the treatment discount is void.

- There is a 12 month commitment with the savings plan. Exceptions apply.

- Refund & Cancellation Policy: Members may cancel within 30 days of enrollment for a full refund, provided no treatment has begun. If any treatment has been performed or the 12-month commitment is not fulfilled, no refund will be issued. Any discounts previously applied will be reversed. Any fees paid (monthly or annual) will be applied toward the balance due. Members remain responsible for paying any outstanding balance, regardless of services received.

- Services are based upon a plan year. The full membership fee is due on the date of enrollment and eligibility will begin at that time remaining active for one year. Your annual membership will be auto-renewed at the end of each plan year. If your dental practice allows monthly payment options, an enrollment fee and surcharge may be applied.

- This membership is an exclusive relationship between Harbor City Dental and myself.

By enrolling in Harbor City Dental's savings plan, I acknowledge that I have reviewed, understand, and agree to the terms and conditions of the plan as presented by my dentist upon enrollment. I authorize this dental office to process my payment as listed in this agreement.