Financial Policies and Procedures Sample Contracts

FINANCIAL POLICIES AND PROCEDURES
Financial Policies and Procedures • January 4th, 2021

At Advanced Cataract & Glaucoma Care, PLLC, we believe that all patients who are rendered care at this office deserve the best medical care that can be provided. We provide you with this Agreement regarding our financial policy and your agreement to pay for services provided so that you are aware of our policies and procedures up front. We require each patient to sign and date this Agreement on the last page to indicate you accept these terms.

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FINANCIAL POLICIES AND PROCEDURES
Financial Policies and Procedures • February 15th, 2022

At Maeville Pediatrics, we believe that all patients who are rendered care at this office deserve the best medical care that can be provided. For us to provide you with the highest quality medical care and current technology, we must ensure that we are able to meet the expenses necessary to operate this facility. To ensure that these expenses are met, we provide you with this Agreement regarding our financial policy and your agreement to pay for services provided. Please sign and date this Agreement on the last page to indicate you accept these terms.

FINANCIAL POLICIES AND PROCEDURES
Financial Policies and Procedures • July 29th, 2016

At City Podiatry, we believe that all patients who are rendered care at this office deserve the best medical care that can be provided. In order for us to provide you with the highest quality medical care and current technology, we must insure that we are able to meet the expenses necessary to operate this facility. To ensure that these expenses are met, we provide you with this Agreement regarding our financial policy and your agreement to pay for services provided. Please sign and date this Agreement on the last page to indicate you accept these terms.

FINANCIAL POLICIES AND PROCEDURES
Financial Policies and Procedures • April 1st, 2020

At Wexford Allergy, Asthma & Immunology, LLC, we believe that all patients who are rendered care at this office deserve the best medical care that can be provided. In order for us to provide you with the highest quality medical care and current technology, we must insure that we are able to meet the expenses necessary to operate this facility. To ensure that these expenses are met, we provide you with this Agreement regarding our financial policy and your agreement to pay for services provided. Please sign and date this Agreement on the last page to indicate you accept these terms.

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