Common Contracts

1 similar Financial Policies and Procedures Agreement contracts

FINANCIAL POLICIES AND PROCEDURES
Financial Policies and Procedures Agreement • January 4th, 2021

At Advanced Cataract & Glaucoma Care, PLLC, we believe that all patients who are rendered care at this office deserve the best medical care that can be provided. We provide you with this Agreement regarding our financial policy and your agreement to pay for services provided so that you are aware of our policies and procedures up front. We require each patient to sign and date this Agreement on the last page to indicate you accept these terms.

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