Common Contracts
1 similar null contracts
Forum Family Medicine, PC β Patient Financial AgreementMarch 10th, 2020
Thank you for choosing us as your primary care provider. We are committed to providing you with quality and affordable health care. We have developed this payment policy to provide clear expectations about your financial responsibility for services rendered by Forum Family Medicine. Please read and initial each section and sign below. Please feel free to ask us any questions you may have and we will provide you with a copy of this agreement for your records.
