Common Contracts

Financial Responsibility Agreement

Financial Responsibility Agreement • October 3rd, 2006

• Contract Type
  Financial Responsibility Agreement
• Filed
  October 3rd, 2006

This is a legally binding agreement between Southwestern Colorado Ear, Nose and Throat Associates, and you, as the patient. It describes your financial obligations. You must read this, sign it and return it to us prior to your first treatment. The term “SCENT” means Southwestern Colorado Ear, Nose and Throat Associates. The terms “I”, “me”, “my”, “you”, or “your” refer to the patient.