Common Contracts
1 similar Financial Policy and Patient Agreement contracts
FINANCIAL POLICY AND PATIENT AGREEMENTFinancial Policy and Patient Agreement • July 14th, 2017
By signing below I understand biopsy/biopsies may be performed. Biopsies are generally billed by Skin Cancer and Dermatology Center to my insurance. In some cases, the biopsy/biopsies may be sent directly to an outside laboratory or for a second opinion. I understand the outside laboratory will bill my insurance directly and I may be liable for the additional cost incurred.
