Common Contracts
1 similar Patient Financial Agreement contracts
Patient Financial AgreementPatient Financial Agreement • August 18th, 2021
Please read the below terms and conditions in this Patient Financial Agreement (“Agreement”) carefully as it is our intent with this policy to outline patient and practice financial responsibilities and obligations fairly and clearly. You will be asked to sign this document. This Agreement will remain in full force and effect unless modified by Physician’s for Women’s Health, LLC, its successors, and assigns.
