Ever wonder what I should do with clients that no- show? Or if their payment or insurance does not go through?  How to let your client know what they are paying for? What about a refund policy? Every private practice owner should have policies that address just that.  Often times these policies are wrapped up into a document that is called a “Financial Agreement”.

Every private practice owner should have policies that address just that.  Often times these policies are wrapped up into a document that is called a “Financial Agreement”.

This agreement template is available for your usage in a word document. It is filled with policies on:

  • Process
  • No-show, late, and rescheduling
  • Types of services, Scope of Work
  • Payments that are accepted
  • Authorization to bill medical insurance and the “what ifs”

All of this is available is a professional agreement template that can be customized or copy and paste to an EHR.  Check out the example below:

Reviews

Average rating: 4.00 out of 5 stars
1 review
5 stars
4 stars
1
3 stars
2 stars
1 star
  • no show policy

    It seemed concise but a little hard to import my graphics. Thanks for saving me lots of time!!

    Thank you for your feedback.

  • You must log in to submit a review.