Patient Financial Responsibility Form

01 Jul, 2017 i, medical-forms 0

This form allows health care institutions to waive responsibility over a patient’s health care finances. Upon successful execution of the form, the concerned patient becomes personally liable for her/his health care _____________.[rawlink]http://www.wikiform.org/wp-content/uploads/2014/01/PatientFinancialResponsibilityForm.doc[/rawlink]

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