Common Contracts
1 similar Consent to Treat and Financial Agreement contracts
CONSENT TO TREAT AND FINANCIAL AGREEMENTConsent to Treat and Financial Agreement • January 18th, 2023
Thank you for allowing Balboa Nephrology Medical Group (BNMG) to serve you. BNMG Providers include physicians, nurse practitioners, physician assistants, and other clinicians, who are either employed or otherwise engaged by BNMG to provide professional services to our patients. By signing this Consent to Treat and Financial Agreement, you agree as follows: You understand that BNMG Providers are not responsible for your care until attendance of your first appointment with the Provider.
