Financial Arrangements

The Financial Arrangements original form helps you avoid problems with payments. It is especially useful if you are allowing your patient to pay in installments. This form maynot be legally binding in court.

The Signature on File form gives you authorization to release information to insurance carriers and request that they in turn make direct payment to your office.

Our Financial Arrangements-U.S. form ensures your compliance with Federal and most State lending laws.

Our Financial Arrangements-Wisconsin form ensures your compliance with Federal and most State lending laws.