What information do we need to provide?

• Practice Details: Please fill in this section clearly, so we have correct details to send you payment.
• Please make sure to only use the item numbers on the VGDS item schedule.
• Please make sure to add the tooth number treated and also the surface where applicable.
• The client needs to sign this voucher when their treatment is completed, and before you send it back to us. This is the last section of the voucher. This shows the client has agreed to treatment and confirms what they have had completed and what they have paid.
• The clinic then also signs. Any vouchers returned without the patient declaration signed off will be returned for completion.