Common Contracts

1 similar Private Pay Agreement contracts

Note: All Private pay patient will need to pay a deposit prior to being seen. $200 for new patients, $100 for established patients)
Private Pay Agreement • October 14th, 2021

□ Patient does not have health insurance coverage – Payment due in full at time of service. Midland Primary Care offers a 25% discount to qualifying patients for payment at time of service.

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