Common Contracts
1 similar Client/Responsible Party Agreement for Payment of Services contracts
o Client/Responsible Party Agreement for Payment of ServicesClient/Responsible Party Agreement for Payment of Services • December 13th, 2016
o This form MUST be signed and returned prior to the first visit. If you choose to place a credit card on file, you may choose to have that card charged weekly or monthly. A receipt will be mailed to you after each charge.
