Common Contracts
1 similar Patient Payment & Financial Agreement contracts
PATIENT PAYMENT & FINANCIAL AGREEMENTPatient Payment & Financial Agreement • September 10th, 2021
Transmed, Inc. is committed to providing you with the best possible medical care. The patient or parent signing the payment & financial agreement is established as the account holder for the family. The account holder is not necessarily the insurance subscriber. The account holder accepts full responsibility for payment of all charges.
