Common Contracts
1 similar Financial Policy and Agreement contracts
FINANCIAL POLICY AND AGREEMENTFinancial Policy and Agreement • April 22nd, 2014
Parent/Child: The parent/legal guardian accompanying the child is responsible for payment at the time of service including co-payment. The parent/legal guardian with whom the child resides is the person who will be billed for services rendered- which may include: deductibles, co-pays, and any non-covered services provided. The parent/legal guardian is responsible for any balance after insurance has paid.
