Financial Consent. The patient (account holder) agrees to be fully responsible for total payment of treatment performed in this office.
Appears in 13 contracts
Samples: Dental Financial Policy & Agreement, Dental Financial Policy and Agreement, Dental Financial Policy & Agreement
Financial Consent. The patient (account holderor guardian) agrees to be fully responsible for total payment of treatment performed in this office.
Appears in 1 contract
Samples: Financial Agreement