Financial and Administrative Agreement Sample Contracts

Standard Contracts

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FINANCIAL CONSENT
Financial and Administrative Agreement • August 2nd, 2024

Thank you for choosing NEPHROLOGY ASSOCIATES OF SYRACUSE, PC (NAS) to be your Provider. As a patient, you have certain responsibilities in regard to your insurance contract:

Sample 1Sample 2
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FINANCIAL CONSENT
Financial and Administrative Agreement • December 16th, 2019

Thank you for choosing NEPHROLOGY ASSOCIATES OF SYRACUSE, PC to be your Provider. As a patient you have certain responsibilities in regard to your insurance contract:

Sample 1
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