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STATEMENT OF FINANCIAL RESPONSIBILITY I, understand that it is the policy of the practice to retain credit card information from all clients. Payment is expected on the day of the scheduled therapy
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Financial responsibility proof is proof that an individual or entity has the ability to cover the financial costs associated with a specific event or situation.
Certain individuals or entities may be required by law to file financial responsibility proof, such as drivers required to have auto insurance.
Financial responsibility proof can usually be filled out by providing relevant financial information and documentation as requested.
The purpose of financial responsibility proof is to ensure that individuals or entities are able to cover potential financial liabilities.
The information required to be reported on financial responsibility proof may vary depending on the specific requirements, but typically includes financial assets and insurance coverage.
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