Common Contracts
1 similar Financial Agreement contracts
Financial AgreementFinancial Agreement • September 15th, 2020
Thank you for choosing Margolin, Keinarth & Alberda, M.D. as your health care provider. We are committed to the success of your treatment. Please understand that the payment of your bill is your responsibility. The following is a statement of our Financial Agreement, which we require that you read and sign prior to any treatment. All patients must complete our “Patient Information Form” before being seen at our office.
