Common Contracts
1 similar Patient Financial Policy Agreement contracts
Patient Financial Policy AgreementPatient Financial Policy Agreement • October 16th, 2023
North Branch Dermatology LLC is committed to serving our patients with the best medical care and we expect the same commitment from our patients. This includes being on time for your appointment and calling to cancel an appointment if you are unable to make it. If you do not notify us that you will not be able to attend a scheduled appointment a $25 fee may be billed to you. The patient should be ready to present their current insurance cards at every appointment and making their copay payments at the time of the office visit.
