Common Contracts
1 similar Financial Policy contracts
This is an agreement between Shayegan Shamsaie, D.D.S., as creditor, and the Patient/Debtor named on this form.Financial Policy • February 6th, 2014
In this agreement the words "you," "your," and "yours" mean the Patient/Debtor. The word "account" means the account that has been established in your name to which charges are made and payments credited. The words "we," "us," and "our" refer to Shayegan Shamsaie, D.D.S.
