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How to use or fill out Office Procedure and Financial Policy Thank you for choosing us as your pediatric office - glendalep
- Click ‘Get Form’ to open it in the editor.
- Begin by reading the introduction carefully. This section outlines the importance of understanding both medical and financial relationships with Glendale Pediatrics.
- Proceed to the 'Insurance Verification' section. Here, ensure you understand your insurance coverage and provide proof of current insurance at your visit.
- In the 'Payment for Services' section, complete and sign the Credit Card Authorization form as required before leaving the office.
- Review the 'Cancellation Policy' to understand potential charges for missed appointments. Make sure to note any necessary actions if you need to cancel.
- Fill out any additional sections regarding health issues during preventative care appointments, unscheduled appointments, and Saturday consultations as applicable.
- Finally, sign and date at the bottom of the document to confirm that you have read and understood all policies outlined.
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