AGREEMENT ONG INSTITUTE PAYMENT POLICY FEES

PDF · 25 Jun 2025

This is a PDF document titled "AGREEMENT_ONGINSTITUTEPAYMENTPOLICY_FEES.pdf" created in June 2025. It contains the detailed payment policy and fee agreement for the Ong Institute, outlining terms related to payments, insurance, professional fees, vendor fees, treatment and surgery fees, facility fees, returned checks, medical records, patient responsibilities, and financial responsibilities. The document serves as a formal agreement for patients regarding financial and administrative policies of the Ong Institute.

Questions this document answers

It covers payments, insurance, fees, patient responsibilities, and acknowledgments.

Patients are responsible for the full payment of all fees regardless of whether they complete the treatment plan or program.

Cancellations must be communicated by telephone with at least 72 hours' notice.

The administration charge is 10% of the refund amount.

Yes, information can be faxed even though it may not be deemed secure by the U.S. Department of Health and Human Services.

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