Patient Responsibility AgreementPatient Responsibility Agreement • September 20th, 2022
Contract Type FiledSeptember 20th, 2022Thank you for choosing our practice for your health care needs. We are committed to building a successful physician- patient relationship with you and your family. Your clear understanding of our patients' code of conduct and financial responsibility is important to our professional relationship. Compliance with our practice policies impacts that relationship. If you have any questions about your responsibilities, our fees or policies please do not hesitate to ask.