CATHERINE A. HA, DMD, PA CAROLINA DENTAL ASSOCIATESPatient Payment Agreement • October 25th, 2009
Contract Type FiledOctober 25th, 2009In 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.