$449.00 USD

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Fee-for-Service Agreement

Office Essential

What is it?

A contract that sets forth the agreement between the practice and the patient.

Why do I need it?

It sets forth the division of liability; explains what is, and what is NOT, included in the services offered; sets forth the rights and obligations of both the patient and practice, and explains how and when payment is to be made.

When do I use it?

Before seeing the patient for the first time.

Who needs it?

All providers operating on a fee-for-service business model (where patients pay for each visit). This agreement is written specifically for doctors who have opted out of insurance and Medicare, and who are not acting as a primary care provider.