Minor Patients. The adult accompanying a minor and the parents (or guardians) of the minor are responsible for full payment. For unaccompanied minors, non-emergency treatment will be denied unless services have been pre-authorized by the parents (or guardians) and payment has been made before or at the time of service in accordance with item number 3 above.
Appears in 5 contracts
Samples: Professional Services, Patient Conditions of Treatment and Financial Agreement, Professional Services Agreement
Minor Patients. The adult accompanying a minor and the parents (or guardians) of the minor are responsible for full payment, regardless of court child support order. For unaccompanied minors, non-emergency treatment will not be denied done unless services prior approval and financial arrangements have been pre-authorized by the parents (or guardians) and payment has been made before or at the time of service in accordance with item number 3 abovemade.
Appears in 1 contract
Samples: Financial Agreement
Minor Patients. The adult accompanying a minor and or the parents (or guardians) of the minor are responsible for full payment. For unaccompanied minors, non-emergency treatment will be denied unless services the minor has written permission for treatment and charges have been pre-authorized to an approved Visa/MasterCard/Discover Card or payment will be made by the parents (cash or guardians) and payment has been made before or check at the time of service in accordance with item number 3 aboveservice.
Appears in 1 contract
Samples: Financial Agreement
Minor Patients. The adult accompanying a minor and the parents (or guardians) of the minor are responsible for full payment. For unaccompanied minors, non-emergency treatment will be denied unless services have been pre-authorized by the parents (or guardians) and payment has been made before or at the time of service in accordance with item number 3 2 above.
Appears in 1 contract
Samples: Professional Services
Minor Patients. The adult accompanying a minor and the parents (or guardians) of the minor are responsible for full payment. For unaccompanied minors, non-emergency non-‐emergency treatment will be denied unless services have been pre-authorized pre-‐authorized by the parents (or guardians) and payment has been made before or at the time of service in accordance with item number 3 above.
Appears in 1 contract
Samples: Professional Services