Financial Arrangements (US)
Financial Arrangements (US)

Financial Arrangements (US)

Our Financial Arrangements-U.S. form ensures your compliance with Federal and most State lending laws. 100 forms per tablet.

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Part Number:T280FA
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This  form is used to comply with federal leading laws when entering into an agreement with a patient to pay a one time large bill, in installments.  Prior to using this form, we suggest you have your attorney or state agency review it to determine if all state laws for your state are covered.

This form is not to be used for open-ended credit where charges are added to an open account of the patient.

Tablets of 100 double-sided sheets, pre-punched and cut to fit.

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