Common Contracts

1 similar New Client Agreement contracts

New Client Agreement
New Client Agreement • August 29th, 2019

Unless other arrangements have been made, payment is due at the time of service. If using medical insurance, copay/coinsurance payment, if applicable, is due at the time of your appointment. Cash, check and credit card are accepted. Checks can be made payable to LeeAnn Weintraub, MPH, RD.