Common Contracts

3 similar Office Policy & Financial Agreement contracts

Office Policy & Financial Agreement
Office Policy & Financial Agreement • June 17th, 2021

Due to the complexity of insurance, we feel that we can no longer assume that patients fully understand the relationship between the insurance company, the physician and their personal insurance policy. To define these matters more clearly, we have developed a set of guidelines regarding office policy, financial responsibility, and general office information. If you have any questions, please ask an office staff member for assistance.

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Office Policy & Financial Agreement
Office Policy & Financial Agreement • February 4th, 2021

Due to the complexity of insurance, we feel that we can no longer assume that patients fully understand the relationship between the insurance company, the physician and their personal insurance policy. To define these matters more clearly, we have developed a set of guidelines regarding office policy, financial responsibility, and general office information. If you have any questions, please ask an office staff member for assistance.

Office Policy & Financial Agreement
Office Policy & Financial Agreement • November 12th, 2015

Due to the complexity of insurance, we feel that we can no longer assume that patients fully understand the relationship between the insurance company, the physician and their personal insurance policy. In an effort to define these matters more clearly, we have developed a set of guidelines regarding office policy, financial responsibility, and general office information. If you have any questions, please ask an office staff member for assistance.

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