Financial Responsibility Sample Contracts

FINANCIAL AGREEMENT
Financial Responsibility • October 30th, 2022
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Financial Responsibility
Financial Responsibility • October 24th, 2020

This is an agreement between Florida Medical Clinic, P.A., a Florida Corporation, as a creditor, and the Patient/Debtor named on this form.

Financial Responsibility
Financial Responsibility • September 30th, 2011

This is an agreement between Florida Medical Clinic, LLC, a Florida Corporation, as a creditor, and the Patient/Debtor named on this form.

FINANCIAL AGREEMENT
Financial Responsibility • February 16th, 2024
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