Common Contracts
1 similar Patient Financial Responsibility Agreement contracts
PATIENT FINANCIAL RESPONSIBILITY AGREEMENTPatient Financial Responsibility Agreement • May 1st, 2023
Thank you for choosing Fox Eye Care Group (FECG) as your eyecare provider! The services you seek here imply an obligation on your part to ensure payment in full is made for the services you receive. This Patient Financial Responsibility Agreement will assist you in understanding that financial responsibility.
