Credit Card on File. Upon scheduling your first appointment you have the option to provide credit card information which will be kept on file to be used as a form of payment for fees incurred for co-pays, co-insurance, deductibles, late cancelations, missed appointments, returned checks, or past due account balances.. A receipt will be e-mailed to you at the address you specify below at your request or by email
Appears in 1 contract
Sources: Fee Agreement and Financial Policy
Credit Card on File. Upon scheduling your first appointment you have the option to provide credit card information which will be kept on file to be used as a form of payment for fees incurred for co-pays, co-insurance, deductibles, late cancelations, missed appointments, returned checks, or past due account balances.. . A receipt will be e-mailed to you at the address you specify below at your request or by email
Appears in 1 contract
Sources: Fee Agreement and Financial Policy
Credit Card on File. Upon scheduling your first appointment you have the option are asked to provide credit card information which will be kept on file to in case of fees which may be used as a form of payment for fees incurred for co-pays, co-insurance, deductibles, late cancelations, missed appointments, returned checks, or past due account balances.. . If your card on file is charged, you will be notified of the reason for the fee and the amount charged. A receipt will be e-mailed to you at the address you specify below at your request or by emailbelow.
Appears in 1 contract
Sources: Fee Agreement and Financial Policy