FINANCIAL POLICIES AND PROCEDURESFinancial Policies and Procedures Agreement • 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.
ContractFinancial Policies and Procedures Agreement • March 3rd, 2017
FINANCIAL POLICIES AND PROCEDURESFinancial Policies and Procedures Agreement • 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.
Financial Policies and ProceduresFinancial Policies and Procedures Agreement • February 22nd, 2019
The Spinal Health and Wellness Center, LLC is dedicated to providing the highest level of care to our patients. In order to provide high quality care, we must be able to meet the expenses necessary to operate our facility. Please sign and date this Financial Policies and Procedure Agreement to indicate that you accept these terms.
