Common Contracts

2 similar Patient Financial Agreement contracts

PATIENT FINANCIAL AGREEMENT & ACKNOWLEDGEMENT OF OFFICE POLICIES
Patient Financial Agreement • January 26th, 2022

Thank you for choosing us as your health care provider. We are committed to providing quality care and service to all of our patients. United Physician Group (“UPG”) believes that part of good health care practice is to establish and communicate an office and financial policy to our patients proactively and effectively. We are dedicated to providing the best possible care for you, and we want you to have a full understanding of our policies.

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PATIENT FINANCIAL AGREEMENT & ACKNOWLEDGEMENT OF OFFICE POLICIES
Patient Financial Agreement • October 27th, 2021

Thank you for choosing us as your health care provider. We are committed to providing quality care and service to all of our patients. United Physician Group (“UPG”) believes that part of good health care practice is to establish and communicate an office and financial policy to our patients proactively and effectively. We are dedicated to providing the best possible care for you, and we want you to have a full understanding of our policies.

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