Common Contracts
1 similar Patient Financial Agreement contracts
Patient Financial Agreement and ResponsibilitiesPatient Financial Agreement • July 26th, 2022
MedCare Family Practice/MedCare Urgent Care (MFP/MUC) is committed to providing patients with information regarding their coverage and financial responsibilities. In consideration of services provided by MFP/MUC, the Patient or undersigned representative acting on behalf of the Patient agrees to the following:
