Common Contracts
2 similar Finance Policy Agreement contracts
FINANCE POLICY AGREEMENT (with CHP+)Finance Policy Agreement • February 18th, 2024
The CarePoint Anesthesia Group LLC, hereinafter known as (“CarePoint”), is dedicated to providing specialized anesthesia services to the familiar and comfortable environment of your dentist’s office, bringing a tailored and personal touch to your child’s care. We would like to advise you of your financial obligations. Please initial below that you have read, understood, and acknowledge this Finance Policy Agreement.
FINANCE POLICY AGREEMENT (Private Pays)Finance Policy Agreement • February 8th, 2024
The CarePoint Anesthesia Group LLC, hereinafter known as (“CarePoint”), is dedicated to providing specialized anesthesia services to the familiar and comfortable environment of your dentist’s office, bringing a tailored and personal touch to your child’s care. We would like to advise you of your financial obligations. Please initial below that you have read, understood, and acknowledge this Finance Policy Agreement.
