Main Street Medical FINANCIAL RESPONSIBILITY AGREEMENT  Payment is required at the time of service. Payment may be made by cash, check or major credit card. Any deductible, co-insurance or co-payment is payable at the

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Date: 2015-01-27 08:20:29		Main Street Medical FINANCIAL RESPONSIBILITY AGREEMENT  Payment is required at the time of service. Payment may be made by cash, check or major credit card. Any deductible, co-insurance or co-payment is payable at the Add to Reading List Source URL: www.hiltonheadurgentcare.org Download Document from Source Website File Size: 46,39 KB Share Document on Facebook