Common Contracts

1 similar File Agreement contracts

Julie Hanson, LCSW Credit Card On File Agreement
File Agreement • October 10th, 2022

Outstanding Bills: It is not my policy to carry balances with my clients. CoPays are due at the time of service. Unless there is a Financial Hardship Form approved and on file, I will charge co-pays each session and/or charge deductible/co-insurance after insurance has processed the claim or at month end.

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