Patient Conditions of Treatment and Financial Agreement Sample Contracts

INTERMOUNTAIN EAR, NOSE & THROAT SPECIALISTS/ UTAH HEARING AND BALANCE CENTER PATIENT CONDITIONS OF TREATMENT AND FINANCIAL AGREEMENT
Patient Conditions of Treatment and Financial Agreement • May 2nd, 2021

This document is an agreement between Intermountain Ear, Nose and Throat Specialists (or "IENT") and/or Utah Hearing and Balance Center (or "UHB") and the Patient and/or the Patient's Guarantor ("You"). In consideration of the health care services provided to you or the Patient and on all other accounts for future health care by IENT/UHB, you agree as follows:

Sample 1
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