Common Contracts
1 similar Financial Policy contracts
Financial PolicyFinancial Policy • October 9th, 2010
patient/Debtor named on this form. 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 TLC Pediatrics of Amarillo, P.A. By executing this agreement, you are agreeing to pay for all services that are received.
