Common Contracts
1 similar Patient Payment Agreement contracts
MIDTOWN UROLOGY – PATIENT PAYMENT AGREEMENTPatient Payment Agreement • February 6th, 2023
Insurance co-pays are due at the time of service and before you see the doctor. If you are unable to pay your co- pay you will be asked to reschedule your appointment. Due to the fact that Midtown Urology is a specialty practice, higher copays may be indicated (consult your individual insurance policy benefits for clarification).
