Common Contracts

1 similar Patient Agreement contracts

Harrisonburg Dermatology Patient Agreement Forms have been revised to accommodate patient care during COVID-19. The following forms are required annually when a patient physically checks into the practice. If you have any questions, please call the...
Patient Agreement • April 21st, 2015

We are committed to providing you with the best possible care. If you have medical insurance, we are anxious to help you receive your maximum allowable benefits. In order to achieve these goals, we need your assistance, and your understanding of our payment policy.

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