Financial Responsibility AgreementFinancial Responsibility Agreement • October 3rd, 2006
Contract Type FiledOctober 3rd, 2006This is a legally binding agreement between Southwestern Colorado Ear, Nose and Throat Associates, and you, as the patient. It describes your financial obligations. You must read this, sign it and return it to us prior to your first treatment. The term “SCENT” means Southwestern Colorado Ear, Nose and Throat Associates. The terms “I”, “me”, “my”, “you”, or “your” refer to the patient.