Carolinas cosmetic and plastic surgery 2026

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4.6 out of 5

66 votes

The document outlines the financial policy of Carolinas Cosmetic and Plastic Surgery, emphasizing that payment for services is expected on the day of the visit unless prior arrangements are made. It details requirements for insurance authorization, charges based on service complexity, and responsibilities for non-covered procedures. Additionally, it mentions a service charge for returned checks.

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Click ‘Get Form’ to open the Financial Policy document in the editor.
Read through the Financial Policy carefully. Ensure you understand each point, especially regarding payment expectations and insurance requirements.
Locate the signature field at the bottom of the form. Click on it to add your signature, confirming that you have read and agree to abide by the policy.
Next, find the field labeled 'Print name of Patient.' Click on it and enter your full name as it appears on your identification.
Finally, navigate to the date field. Click on it and select or type in today’s date to complete your form.

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