Common Contracts
1 similar Medical Lien Agreement contracts
LIEN CREATING AN IRREVOCABLE ASSIGNMENT OF PROCEEDSMedical Lien Agreement • March 23rd, 2017
Patient hereby grants Provider a Medical Lien, as defined herein and below and pursuant to Nevada law, inclusive, upon any sums awarded to Patient by judgment, or pursuant to a settlement or compromise, concerning the Accident, in the amount and to the extent of Provider’s billed and invoiced charges, and Patient acknowledges that, as defined above, when a Patient assigns rights to the proceeds of a tort to this Medical Lien holder, those proceeds no longer belong to the Patient and are the sole property of the Provider. Therefore, Patient, by signing this agreement, agrees to the following:
