Common Contracts
1 similar null contracts
Office Financial PolicyOctober 4th, 2021
this is not a guarantee of payment. We will submit the forms necessary to your insurance company, as a courtesy to you. It is to be understood and agreed upon that any services rendered, that are not paid for by your insurance, are your responsibility. Your co-pay is due at the time services are rendered. If your insurance policy changes, it is your responsibility to
