Common Contracts
1 similar Financial Agreement contracts
PEDIATRIC SPEECH LANGUAGE THERAPYFinancial Agreement • September 3rd, 2018
Payment is required at the time of service. This includes co-payments if we are billing your insurance. Please see the attached sheet for and explanation of our fees. Please select from the list below to indicate how you will be paying for your child’s services by placing a check mark next to your chosen option:
