Common use of COPIES OF MEDICAL RECORDS Clause in Contracts

COPIES OF MEDICAL RECORDS. Should you request a copy of your medical records, the cost is $1 per page. Payment for your medical records will be due prior or upon receipt and can be picked up at the office. Please allow at least 2 weeks to prepare medical records.

Appears in 4 contracts

Samples: Therapy Consent and Policies, Therapy Consent, Policies & Agreement, Therapy Consent and Policies

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COPIES OF MEDICAL RECORDS. Should you request a copy of your medical records, the cost is $1 2 per page. Payment for your medical records will be due prior or upon receipt and can be picked up at the office. Please allow at least 2 weeks to prepare medical records.

Appears in 3 contracts

Samples: Therapy Consent, Policies & Agreement, Therapy Consent, Policies & Agreement, Therapy Consent, Policies & Agreement

COPIES OF MEDICAL RECORDS. Should you request a copy of your medical records, the cost is $1 .35 per pagepage and postage. Payment for your medical records will be due prior or upon receipt and can be picked up at the office. Please allow at least 2 weeks to prepare medical records.

Appears in 2 contracts

Samples: Therapy Consent, Policies & Agreement, Therapy Consent, Policies & Agreement

COPIES OF MEDICAL RECORDS. Should you request a copy of your medical records, ; the cost is $1 1.00 per page. Payment for your medical records will be due prior or upon receipt and can be picked up at the office. Please allow at least 2 weeks to prepare medical records.

Appears in 2 contracts

Samples: Therapy Consent, Policies & Agreement, Therapy Consent and Agreement

COPIES OF MEDICAL RECORDS. Should you request a copy of your medical therapy records, the cost is $1 1.00 per page. Payment for your medical therapy records will be due prior or upon receipt and can be picked up at the office. Please allow at least 2 weeks to prepare medical records.

Appears in 2 contracts

Samples: Therapy Consent, Policies & Agreement, Therapy Consent, Policies & Agreement

COPIES OF MEDICAL RECORDS. Should you request a copy of your medical records, the cost is they will be dispensed at $1 2 per page. Payment for your medical records will be due prior or upon receipt and can be picked up at the our office. Please allow at least 2 weeks to prepare medical your records.

Appears in 2 contracts

Samples: Therapy Agreement, Therapy Agreement

COPIES OF MEDICAL RECORDS. Should you request a copy of your medical records, the cost is they will be dispensed at $1 5 per page. Payment for your medical records will be due prior or upon receipt and can be picked up at the our office. Please allow at least 2 weeks to prepare medical your records.

Appears in 2 contracts

Samples: Therapy Agreement, Therapy Agreement

COPIES OF MEDICAL RECORDS. Should you request a copy of your medical records, the a cost is $1 5 per page. Payment for your medical records will be due prior or upon receipt and can be picked up at the officeoffice. Please allow at least 2 two weeks to prepare medical records.

Appears in 1 contract

Samples: Therapy Consent, Policies & Agreement

COPIES OF MEDICAL RECORDS. Should you request a copy of your medical records, the cost is $1 .15 per page after the 10th page. Payment for your medical records will be due prior or upon receipt and can be picked up at the office. Please allow at least 2 weeks to prepare medical records.

Appears in 1 contract

Samples: Therapy Consent, Policies & Agreement

COPIES OF MEDICAL RECORDS. Should you request a copy of your medical records, the cost is $1 2.00 per page. Payment for your medical records will be due prior or upon receipt and can be picked up at the office. Please allow at least 2 4 weeks to prepare medical records.

Appears in 1 contract

Samples: Therapy Consent Agreement

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COPIES OF MEDICAL RECORDS. Should you request a copy of your medical records, the cost is $1 1.00 per page. Payment for your medical records will be due prior or upon receipt and can be picked up at the office. Please allow at least 2 weeks to prepare medical records.

Appears in 1 contract

Samples: Therapy Consent, Policies & Agreement

COPIES OF MEDICAL RECORDS. Should you request a copy of your medical records, the cost is $1 5 per page. Payment for your medical records will be due prior or upon receipt and can be picked up at the office. Please allow at least 2 weeks to prepare medical records.

Appears in 1 contract

Samples: Therapy Consent, Policies & Agreement

COPIES OF MEDICAL RECORDS. Should you request a copy of your medical records, the cost is ; they will be dispensed at $1 1.50 per page. Payment for your medical records will be due prior or upon receipt and can be picked up at the our office. Please allow at least 2 weeks to prepare medical your records.

Appears in 1 contract

Samples: Therapy Agreement

COPIES OF MEDICAL RECORDS. Should you request a copy of your medical records, ; the cost is $1 2.00 per page. Payment for your medical records will be due prior to or upon receipt and can be picked up at the office. Please allow at least 2 weeks to prepare medical records.

Appears in 1 contract

Samples: Therapy Consent and Policies

COPIES OF MEDICAL RECORDS. Should you request a copy of your medical records, the cost is $1 1.50 per page. Payment for your medical records will be due prior or upon receipt and can be picked up at the office. Please allow at least 2 weeks to prepare medical records.

Appears in 1 contract

Samples: Therapy Consent, Policies & Agreement

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