Common Contracts
1 similar Credit Card on File Agreement contracts
CREDIT CARD ON FILE AGREEMENTCredit Card on File Agreement • August 23rd, 2022
Meridian Mental Health & TMS Center of Omaha has implemented a new credit card policy effective 10/01/2022. Anyone that is not responsible for their own financial obligations at this clinic (i.e., if your copay is paid by a parent or spouse), we kindly request for a credit card to keep on file. We are committed to making our billing process as simple and easy as possible and this card will only be used for copays, as they are due at time of service. We will not charge any outstanding balances without your approval. This will help speed up our check in process and be a convenience, so you no longer need to worry about forgetting a form of payment. If you wish to change the credit card on file or have updated card information, please notify our office.
