Office Financial Policy and Consent for Disclosure Sample Contracts

OFFICE FINANCIAL POLICY AND CONSENT FOR DISCLOSURE
Office Financial Policy and Consent for Disclosure • February 2nd, 2010

Thank you for selecting Santa Monica Dermatology Medical Group for your medical care. We look forward to assisting you with your healthcare needs. In order to prevent any misunderstanding concerning your medical care, including the responsibility for payment, please read and sign this agreement prior to treatment.

Sample 1
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