FINANCIAL POLICY


FINANCIAL POLICY effective January 2019

Thank you for choosing Gastroenterology and Hepatology Institute of Nevada (GHIN) as your health care provider. Please carefully read and initial by each statement (1 – 6) and sign below. This policy has been put in place to ensure that financial payments due are recovered to allow us to continue to provide quality medical care for our patients.  It is important that we work together to assure that payment for services is as simple and straightforward as possible. Our practice manager or billing department will be glad to discuss these policies with you.

Patient Name:  

Date:

 

Leave this empty:

Signature arrow
Rajat Sood M.D. http://www.rajatsood.com
Signature Certificate
Document name: FINANCIAL POLICY
lock iconUnique Document ID: ce221e5dad7160314a3fda1d0099d443ca63c62d
Timestamp Audit
April 21, 2020 2:22 am PDTFINANCIAL POLICY Uploaded by Rishawn Newman - rnewman@rajatsood.com IP 68.96.239.191