Common Contracts
2 similar Patient Financial Agreement contracts
SHCC 340B & Patient Financial AgreementPatient Financial Agreement • September 3rd, 2020
The following is an agreement to provide Cloney’s pharmacy with credit/debit card information upon pick-up of those medications at SHCC:
SHCC 340B & Patient Financial AgreementPatient Financial Agreement • August 28th, 2020
The following is an agreement to provide Cloney’s pharmacy with credit/debit card information upon pick-up of those medications at SHCC:
