Common Contracts
1 similar Payment Plan Agreement contracts
Payment Plan AgreementPayment Plan Agreement • December 28th, 2017
The amount due above was taken from the client’s account of record as of and noted on the date above, representing the balance(s) owed to The Center For Mental Health (CMH) for services performed, and after insurance payment, if any, or insurance denials where client is made responsible for balance owed. Client agrees and promises to pay the entire amount above, to be repaid in a series of scheduled repayments without interest. The following table represents the number of months the loan amount may be paid:
