Common Contracts
5 similar Patient Financial Policy contracts
Patient Financial PolicyPatient Financial Policy • December 16th, 2019
This is an agreement between Summit Primary Care dba AdvancedHEALTH, as creditor, and the Patient/Debtor named on this form and indicated by patient/debtor signature below.
Patient Financial PolicyPatient Financial Policy • May 8th, 2019
This is an agreement between AdvancedHEALTH, as creditor, and the Patient/Debtor named on this form and indicated by patient/debtor signature below.
Patient Financial PolicyPatient Financial Policy • July 6th, 2016
This is an agreement between AdvancedHEALTH, as creditor, and the Patient/Debtor named on this form and indicated by patient/debtor signature below.
Patient Financial PolicyPatient Financial Policy • July 6th, 2016
This is an agreement between AdvancedHEALTH, as creditor, and the Patient/Debtor named on this form and indicated by patient/debtor signature below.
Patient Financial PolicyPatient Financial Policy • July 6th, 2016
This is an agreement between AdvancedHEALTH, as creditor, and the Patient/Debtor named on this form and indicated by patient/debtor signature below.
