Common Contracts
1 similar Financial Agreement contracts
FINANCIAL AGREEMENT AND OFFICE POLICIESFinancial Agreement • April 8th, 2019
• We ask that all payments or co-payments bemade atthetime of service unless other arrangements have been made in advance. This includes applicable deductibles, coinsurance and copayments for participating insurance companies. For your convenience, we accept check, cash, Visa, MasterCard and Discover. There is a service charge of $25.00 for all returned checks.
