Common Contracts
2 similar Financial Acknowledgment & Agreement contracts
FINANCIAL ACKNOWLEGDEMENT & AGREEMENTFinancial Acknowledgment & Agreement • January 15th, 2019
Your understanding of our financial policy is an essential part of your treatment. By signing this agreement you acknowledge herewith, that you have voluntarily entered into a financial agreement with STRIDE FOOT & ANKLE CENTER, LLC, a professional Limited Liability Company, for Podiatric Medical and Surgical services.
FINANCIAL ACKNOWLEGDEMENT & AGREEMENTFinancial Acknowledgment & Agreement • December 23rd, 2017
Your understanding of our financial policy is an essential part of your treatment. By signing this agreement, you acknowledge herewith, that you have voluntarily entered into a financial agreement with STRIDE FOOT & ANKLE CENTER, LLC, a professional Limited Liability Company, for Podiatric Medical and Surgical services.
