$195.00
This agreement clarifies the patient’s financial obligations, including payment terms, insurance coverage, and clinic billing policies. It ensures that patients are fully informed about their financial responsibilities and helps prevent billing disputes. By having patients sign this document, clinics can reduce misunderstandings and streamline the payment process.
The form documents available on our site are designed for use in IV-centered hydration practices and are provided for educational and informational purposes only. They are not intended to constitute legal advice, nor should they be used as a substitute for personalized legal counsel. Legal advice involves a detailed consultation process in which a licensed attorney evaluates your specific needs, the applicable laws in your state, and your individual risk tolerance. Only after this process can an attorney provide documents tailored to meet your unique circumstances and ensure compliance with relevant laws and regulations. By purchasing or using these documents, you acknowledge and agree that no attorney-client relationship is established, and it is your responsibility to seek professional legal guidance to ensure these materials are appropriate for your specific situation and jurisdiction.
AIVA is the leading industry beacon for providers of IV services nationwide.
151 NW 1st Avenue, Delray Beach, FL 33444
(561) 757- 4430.
hello@americaniv.com
Copyright 2025 AmericanIV.com | Powered By Sertain Creative
