Valeo Payment PolicyPayment Policy • May 31st, 2021
Returned Check Policy - Valeo accepts checks as a form of payment; however should a check be returned due to insufficient funds, we will require immediate payment of another form plus a
PAYMENT POLICYPayment Policy • October 1st, 2023
Welcome! Thank you for selecting us as your dental health care providers. Our goal is to provide you and your family with optimal dental care. We want you to feel welcome and as comfortable as possible throughout our relationship. We encourage you to ask questions and to be involved in treatment decisions. This includes understanding your treatment plan as well as our payment policy.
Skyline Medical Center Payment Policy (Financial Agreement)Payment Policy • June 6th, 2017
As the patient or the person with legal authority to sign on the patient’s behalf, you understand and agree to the following:
FINANCIAL POLICYPayment Policy • April 29th, 2022
In the event that you must miss or cancel an appointment, please give us at least 24 hours notice. If you fail to provide us with 24 hours notice or miss your appointment you may be charged for the scheduled service.
North Kent Aquatic Team Payment PolicyPayment Policy • August 6th, 2024
This Agreement defines North Kent Aquatic Team’s payment and refund policies for registration fees, meet and club fees, and other payment requirements for our swim team. By registering your athlete for the session you agree to adhere to the terms of this agreement.
Payment Policy: Self-PayPayment Policy • December 1st, 2018
Thank you for choosing Speech of Madison for your speech-language pathology needs. This is an agree- ment between Speech of Madison and you for payment of services provided. By signing this agreement, you are agreeing to pay for all services provided to you or your family member.
Payment Policy: Self-PayPayment Policy • June 13th, 2022
Thank you for choosing me for your speech-language pathology needs. This is an agreement between you and I for payment of services provided. By signing this agreement, you are agreeing to pay for all services provided to your child.
PAYMENT POLICYPayment Policy • September 29th, 2012
Thank you for choosing me for your speech-language pathology needs. This is an agreement between you and me, Nancy Sims M.A. CCC, Certified Speech-Language Pathologist, for payment of services provided. By signing this agreement, you are agreeing to pay for all services provided to you or your family member.
Telespeech Therapy, Inc. Flushing Quail Rd., Suite 500 Bakersfield, CA 93312Payment Policy • March 22nd, 2018
Thank you for choosing Telespeech Therapy for your speech-language pathology needs. This is an agreement between Telespeech Therapy and you for payment of services provided. By signing this agreement, you are agreeing to pay for all services provided to you or your family member.
PAYMENT POLICYPayment Policy • January 17th, 2024
This Payment Policy (hereinafter referred to as the “Policy”) is a legally binding document and is part of our user agreement, representing the rules for collecting and making payments in the ArBook interactive system, which includes such products as ArBook, VR_Lab, AR_Teacher and AR_Book Market; all the above-mentioned products are part of the interactive system and are subject to the relevant rules and policies. Limited liability company “AR BOOK UA”, EDRPOU: 44973818, in the person of the director Olga Mykolaivna Holovakhina, acting in accordance with the Charter, has developed this Policy on the following.
Agreement of Policies and ProceduresPayment Policy • July 31st, 2023
• Please be advised if your child is in need of extra support or assistance, the parent will be responsible for those costs provided qualified personnel can be found and employed for the position.
Harlin Speech Services, PLLC Katie Jent Harlin, MS, CCC-SLP Speech-Language PathologistPayment Policy • October 30th, 2021
Thank you for choosing Harlin Speech Services, PLLC for your speech-language pathology needs. This is an agreement between Harlin Speech Services, PLLC and you for payment of services provided. By signing this agreement, you are agreeing to pay for all services provided to you or your family member.
GREENHOUSE MONTESSORI SCHOOLPayment Policy • August 18th, 2018
The school year tuition may be paid in ten equal monthly installments for the full 10- month school year. Some months will have more school days, e.g. September and October, and some will have fewer, e.g. December and June. But the payment amount due is the same each month.
Appointment AgreementPayment Policy • March 21st, 2024
Our team at West Michigan Foot and Ankle PLLC are committed to keeping you well-informed about your available financial options. We ask that insurance co-pays or out of pocket percentages are paid at the time of service. We accept cash, checks, and all major Credit Cards, including Care Credit. If you have any questions about your expected out of pocket or our financial options, please contact our office before your appointment.
Parent Contract Agreement of Policies and Procedures 2020-2021Payment Policy • April 20th, 2020
• Parents will let director of services know if they are paying monthly, weekly, or bi-weekly. If payment for the month is not received until after the 5th of the next month, there will be a penalty of $25.00 on the 6th and then $10.00 daily after that.
Parent Contract Agreement of Policies and Procedures 2022-2023Payment Policy • May 23rd, 2022
• There is a $30.00 enrollment fee per year for the first child and $15.00 for each additional child. This will be paid when your child begins no matter when in the year they start attending. Even if you need to start in May, the enrollment fee is due.
Payment PolicyPayment Policy • September 26th, 2021
TheLDrive is an mobile application and also a website located at Play Store and theldrive.in (“Website”) run by PLAVA SOFT LLP. And that you wish to register with us as you intent to provide driving school services to all those who are interested to learn driving and are above the age of 18 years.
Appointment AgreementPayment Policy • September 8th, 2022
Our team at West Michigan Foot and Ankle PLLC are committed to keeping you well-informed about your available financial options. We ask that insurance co-pays or out of pocket percentages are paid at the time of service. We accept cash, checks, and all major Credit Cards, including Care Credit. If you have any questions about your expected out of pocket or our financial options, please contact our office before your appointment.
ContractPayment Policy • February 17th, 2021
Thank you for choosing A to Z Pediatric Therapy, LLC for your therapy needs. This is an agreement between A to Z Pediatric Therapy, LLC and you for payment of services provided. By signing this agreement, you are agreeing to pay for services provided to you or your family member.
Payment Policy: Insurance Billing and Self-PayPayment Policy • October 6th, 2021
Thank you for choosing Speech Wings, LLC for your speech-language pathology needs. This is an agreement between Speech Wings, LLC and you for payment of services provided. By signing this agreement, you are agreeing to pay for all services provided to you or your family member.
HAMP CHILDREN’S CENTRE NURSERY PAYMENT POLICYPayment Policy • October 7th, 2015
To ensure that we can maintain a first class service to parents and children, the following terms form part of the parental agreement:
REINGOLD SPEECH THERAPY POLICIES AND PROCEDURES:Payment Policy • February 10th, 2014
Thank you for choosing Reingold Speech Therapy Services for your therapy needs. Like many private speech therapy clinics, Reingold Speech Therapy requires direct payment for speech therapy services. This allows us to offer the highest quality, personalized therapy for your child at cost effective prices.
