Common Contracts

1 similar Financial Policy and Patient Agreement contracts

Financial Policy and Patient Agreement (Revised 10/2013)
Financial Policy and Patient Agreement • May 10th, 2013

You are financially responsible for the services we provide to you. We understand that many patients arrange for insurance companies to pay for a large portion of medical claims. However, the patient (or legal guardian if the patient is a minor) is ultimately responsible for the bill if the insurance company does not pay.

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