Allie Williams

i am specialized in diabetes

Name:
Location: My House, 11102 , , , FL
Speciality: adolescent medicine-pediatrics,aerospace medicine,nausea
Email: alliewill19@gmail.com
Phone: 123456789
Website: www.elvis-md.org

About Me

i am specialized in diabetes

Certifications

ACCP

Clinic Detail

this is my company

We encourage you to Petition non-associates for a price break.

Petition Slip

Gallery

Reviews

No reviews added

This Petition Slip is for you to present to the named Healthcare Provider as a written request for a price break on the office visit/service appointment which you are responsible to schedule. If a price break has not been determined prior to your appointment, feel free to remind the Healthcare Provider/staff that you are paying out-of-pocket that day. At this time it is important for you to ask the Healthcare Provider which form of payment they accept; Cash, Check or Charge.

PAYMENT DUE

When checking in at your appointment, payment will be required prior to receiving service.

HEALTHCARE PROVIDER

Name: Allie Williams
Location: My House, 11102 , , , FL
Phone: 123456789

SERVICE PRICE PETITION

Office visit/service price to be determined between Patient and Healthcare Provider

PROVIDER SIGN-UP

Please ask your Healthcare Provider to visit MEDPRICE.COM to review the enrollment process. Our basic program allows Healthcare Providers to enroll as an Associate starting as low as $9.95 per month. It is designed to eliminate the 'sometimes awkward' face to face price negotiations with patients and to simplify the out-of-pocket payment method.

Print this out and take it with you to your appointment.

"You may save up to 45% on your Healthcare if you are paying out of pocket..."

1
Free search for your
Health Care Providers

2
Chose your provider
by location

3
Call to schedule your appointment

4
Book on-line Video Visit or In Person

5
You save money with Prenegotiated prices

Allie Williams

About Me

Certifications

Clinic Detail

Gallery

Reviews

PAYMENT DUE

HEALTHCARE PROVIDER

SERVICE PRICE PETITION

PROVIDER SIGN-UP

"You may save up to 45% on your Healthcare if you are paying out of pocket..."

1 Free search for your Health Care Providers

2 Chose your provider by location

3 Call to schedule your appointment

4 Book on-line Video Visit or In Person

5 You save money with Prenegotiated prices

Allie Williams

About Me

Certifications

Clinic Detail

Gallery

Reviews

PAYMENT DUE

HEALTHCARE PROVIDER

SERVICE PRICE PETITION

PROVIDER SIGN-UP

1
Free search for your
Health Care Providers

2
Chose your provider
by location

3
Call to schedule your appointment

4
Book on-line Video Visit or In Person

5
You save money with Prenegotiated prices