Common Contracts
1 similar Financial Policy contracts
AGREEMENT FOR PAYMENT FOR SERVICES:Financial Policy • April 10th, 2014
Full Payment for services are due at the time of service, and collected at the beginning of each appointment. Any insurance co-payments are due at time of service. You must provide your insurance card and identification-at-each visit, which is subject for verification prior to your appointment time. CBHS reserves the right to cancel your appointment if proof of insurance cannot be verified or is not provided or require full visit fee be paid prior to your appointment.
