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Number of Pages: 2

 

Who is it for?

  • New client

 

What is it for?

  • To explain to new clients their financial responsibilities for services 
  • This document covers information on:
    • Billing process with insurance
    • Authorization process
    • Statements/bills
    • Payment 
    • Designating a financially responsible party 

 

Why should you use it?

  • To increase transperacy of service fee with clients
  • To increase knowledge of billing process for clients
  • Highly recommend to include this as part of the intake packet 

 

 

Financial Agreement

$5.50Price
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