Common Contracts

1 similar Financial Policy Agreement and Consent for Release of Information contracts

MARIA M. DOUCET, M.D., A.P.M.C. FINANCIAL POLICY AGREEMENT AND CONSENT FOR RELEASE OF INFORMATION
Financial Policy Agreement and Consent for Release of Information • June 19th, 2020

Thank you for choosing Dr Maria Doucet as your healthcare provider. We are committed to providing you with a quality healthcare. Please understand that payment of your bill is essential to the well-being of our practice. The following is our Financial Policy Agreement and Authorization for Release of Information, which we require that you read and sign before any treatment.

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