Patient - Attorney Medical Lien Agreement

This form is a Medical Lien Agreement. The clien authorizes a health care provider to furnish his/her attorney with prepaid copies of certain medical records relevant to the client's injury or accident. The client also acknowledges that he/she is directly responsible to the health care provider for all medical bills submitted by them for services rendered. (more...)

Download: Patient - Attorney Medical Lien Agreement

Available from: USLegalForms.com

SKU: US-LIEN-01

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