Common Contracts

1 similar Financial Policies and Agreement contracts

FINANCIAL POLICIES AND AGREEMENT
Financial Policies and Agreement • June 24th, 2016

CASH PATIENT: All fees for services rendered are due on the time of service. If the patient is in their postoperative period, but has an outstanding balance, payment is still expected before the patients visit. If there is an outstanding balance and payments are not made within 90 days of the visit date, the account will be turned over to the collection agency and collection fees will be added to the account balance; collection fees can be up to 35% of the charge amounts sent to collections. It is the patient’s responsibility to call and update their address.

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