Common Contracts
2 similar Policy and Financial Agreement contracts
Payment Policy and Financial AgreementPolicy and Financial Agreement • September 2nd, 2020
Thank you for choosing Dee PT for your Physical Therapy needs. This financial agreement describes both patient and insurance responsibility for services rendered. Please read this agreement, ask us any questions you may have and sign in the space provided.
Payment Policy and Financial AgreementPolicy and Financial Agreement • June 15th, 2015
Thank you for choosing Dee PT for your Physical Therapy needs. This financial agreement describes both patient and insurance responsibility for services rendered. Please read this agreement, ask us any questions you may have and sign in the space provided.
