Common Contracts
2 similar Patient Financial Agreement contracts
Financial Policy Patient Financial AgreementPatient Financial Agreement • October 15th, 2020
Summit Medical Clinic, P.C. is committed to serving our patients with professionalism and caring and from our patients we expect the same commitment. This includes being on time for your appointment and calling to cancel an appointment if you can’t make it. It also includes financial responsibility, like presenting your identification and insurance cards at every appointment and making your copay and deductible payments at the time of your office visit with cash, check, or credit card.
Financial Policy Patient Financial AgreementPatient Financial Agreement • January 21st, 2015
Summit Medical Clinic, P.C. is committed to serving our patients with professionalism and caring and from our patients we expect the same commitment. This includes being on time for your appointment and calling to cancel an appointment if you can’t make it. It also includes financial responsibility, like presenting your identification and insurance cards at every appointment and making your copay and deductible payments at the time of your office visit with cash, check or credit card.
