Common Contracts

1 similar Financial Agreement contracts

FINANCIAL AGREEMENT & APPOINTMENT POLICY
Financial Agreement • April 16th, 2019

Gros Ventre OB/GYN requires all patients to have a method of payment on file with our office. Credit cards, debit cards, HSA cards are all acceptable forms of payment. Services will not be rendered without prior payment arrangements. As a courtesy, Gros Ventre OB/GYN will submit your charges to the insurance policy you supply our office with, however, payment is never guaranteed by your insurance company until after charges are submitted and reviewed. All deductibles, co-pays and co-insurances are due at time of service.

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