Common Contracts

2 similar Payment Agreement contracts

Payment Agreement, Cancellation & Missed Appointment Policy
Payment Agreement • January 11th, 2023

Please read the following agreement. It explains your financial obligations while under our care and our policies regarding cancellations and missed appointments. Payment is always due at the time of service. We accept the following forms of payment:

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Payment Agreement, Cancellation & Missed Appointment Policy
Payment Agreement • August 3rd, 2020

Please read the following agreement. It explains your financial obligations while under our care and our policies regarding cancellations and missed appointments. Payment is always due at the time of service. We accept the following forms of payment:

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