Common Contracts
1 similar Credit Card on File Agreement contracts
Credit Card on File Agreement (optional)Credit Card on File Agreement • February 18th, 2020
We have implemented a policy which enables you to maintain your credit card information securely on file with Pima Dermatology, PC. In providing us with your credit card information, you are giving Pima Dermatology, PC permission to automatically charge your credit card on file [for the patient you have listed on this form]
