Common use of Patient Responsibilities Clause in Contracts

Patient Responsibilities. As conditions to membership, and without waiving any other obligation or condition listed elsewhere in this Agreement, Patient agrees to the following: a. To provide the Clinic current contact information and notify the Clinic of any changes; b. To provide the Clinic with valid payment information at all times during the membership; c. To pay Membership Fees and any other applicable fees for service provided to the Clinic in a timely manner (which includes payment for non-covered services at the time of service); d. To provide complete and truthful information about Patient’s health, activities, and needs to the Clinic; e. Except in rare cases where it is not reasonable to do so, to schedule appointments with the Clinic at least 24 hours in advance and to arrive for each appointment in a timely fashion or, in the event an appointment cancellation is necessary, to provide notice of cancellation at least 24 hours in advance of the scheduled appointment; f. To complete all necessary consent, HIPAA, and other forms or documents reasonably required by the Clinic or by applicable law, rule or regulation, including any applicable tele-health forms if Patient desires to engage the Clinic on a tele-health basis.