Common Contracts
3 similar Financial Agreement contracts
Financial Policy StatementFinancial Agreement • February 10th, 2023
Our physicians are participating providers with a large number of health insurance plans. We recommend that you verify our participation with your particular plan, as financial responsibility ultimately falls to the Guarantor of each account (the Guarantor is the person who is responsible for the patient’s bills). In return for services provided by Rockville Gynecology, we expect payment or satisfactory financial arrangements, at the time the service is rendered. A valid credit card is required to be on file at all times.
Financial Policy StatementFinancial Agreement • April 1st, 2022
Our physicians are participating providers with a large number of health insurance plans. We recommend that you verify our participation with your particular plan as financial responsibility ultimately falls to the Guarantor of each account (the Guarantor is the person who is responsible for the patient’s bills). In return for services provided by Rockville Gynecology, we expect payment or satisfactory financial arrangements, at the time the service is rendered. A valid credit card is required to be on file at all times.
Financial Policy StatementFinancial Agreement • November 18th, 2020
Our physicians are participating providers with a large number of health insurance plans. We recommend that you verify our participation with your particular plan as financial responsibility ultimately falls to the Guarantor of each account (the Guarantor is the person who is responsible for the patient’s bills). In return for services provided by Rockville Gynecology, we expect payment or satisfactory financial arrangements, at the time the service is rendered. A valid credit card is required to be on file at all times.
