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Payment Policy: Payment in full is due at the time services are rendered. A valid credit card can be kept on file. Client is responsible for updating credit card information on file. Client authorizes and acknowledges receipt of services and/or medications rendered. Unpaid balances will be subject to finance charges of 1.5% per month. Any costs incurred as a result of non-payment of any bills, including interest, attorney's fees and court costs will be sustained by the client. I have read, understand and agree to the terms contained herein:
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