Common Contracts
1 similar Patient Agreement contracts
MARK RICHEY, MEDICAL DOCTOR, PC 1200 AIRPORT HEIGHTS DRIVE, SUITE 205Patient Agreement • December 7th, 2015
Each patient is responsible for the payment of their medical services. We gladly bill healthcare payers as a courtesy to our patients and need a copy of your current insurance ID card. If your healthcare insurance payer does not cover particular medical services, you are welcome to make self pay arrangements at the usual and customary pricing.
