Financial Policy & Agreement Form

Denali Medical Center is dedicated to professionalism and caring for our patients. We hope to be as up front and consistent as possible in explaining your obligations in our partnership to your health.

Please read, check each box and sign where indicated – this document describes your financial responsibilities. This is a legally binding contract between Denali Medical Center and the patient.


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Document name: Financial Policy & Agreement Form
lock iconUnique Document ID: 3579462e64398aef1940ef166523d9ad1e5305e0
Timestamp Audit
July 9, 2019 8:34 am MDTFinancial Policy & Agreement Form Uploaded by Denali Medical - IP
July 10, 2019 8:40 pm MDTCindy Meldrum - added by Lisa Strauss - as a CC'd Recipient Ip: