Common Contracts
1 similar Financial Policy contracts
Financial Policy for Northeast Cincinnati Pediatric Associates, Inc.Financial Policy • May 14th, 2024
This is an agreement between Northeast Cincinnati Pediatric Associates, Inc., as creditor, and the parent or guardian of the patient, or patient if not a minor, as debtor, named on this form. In this agreement the words “you,” “your,” and “yours” refer to the parent/guardian debtor. The word “account” means the account that has been established in our name to which charges are made and payments credited. The words “we,” “us,” and “our” refer to Northeast Cincinnati Pediatric Associates, Inc. By executing this agreement, you are agreeing to pay for all services that are rendered applied to patient balance.
