Common Contracts
1 similar Financial Policy and Patient Agreement contracts
FINANCIAL POLICY AND PATIENT AGREEMENTFinancial Policy and Patient Agreement • June 21st, 2022
PAYMENT IS EXPECTED, AT THE TIME OF SERVICE, FOR "YOUR PART" OF THE CHARGES. WE ACCEPT CASH, CHECKS, AND MOST MAJOR CREDIT CARDS FOR YOUR CONVENIENCE. WE REQUIRE YOU TO READ THE FINANCIAL POLICY AND THE SURPRISE BILLING ACT ENTIRELY AND SIGN BEFORE TREATMENT.
