Common Contracts

1 similar Patient Payment Agreement contracts

CATHERINE A. HA, DMD, PA CAROLINA DENTAL ASSOCIATES
Patient Payment Agreement • October 25th, 2009

In this agreement the words “you”, “your” and “yours” mean the Patient/Debtor/Guarantor. The word “account” means the account that has been established in your name to which charges are made and payments credited. The words “we”, “us” or “our” refer to the Doctor.

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