Common Contracts
1 similar Financial Agreement contracts
Financial Agreement and Office PoliciesFinancial Agreement • November 18th, 2014
Notice: Everything done in this office whether for diagnostic or treatment purposes is a valuable and billable service and it is the patient’s responsibility to know what chiropractic services their insurance covers . If you do not understand why a procedure is being done or have a question of the cost of a service please ask. We are happy to explain the purpose and cost of any service. If you make an advance appointment and for some reason you must miss your appointment, it is your responsibility to notify this office at least 1 hour before your appointment time or Vermillion Chiropractic, P.C. reserves the right to charge your account for the missed office visit. If your account is 30 days past due, Vermillion Chiropractic, P.C. reserves the right to add a service charge of up to 20% per annum or $1.50 per month to your total remaining balance.
