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

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Free search for your
Health Care Providers

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Chose your provider
by location

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Call to schedule your appointment

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Book on-line Video Visit or In Person

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You save money with Prenegotiated prices

Disclaimer

  2. Patient/User Disclaimer

Patient/User Disclaimer

Please read this agreement carefully before accessing or using this service. By accessing or using this service, you understand and agree to the Terms and Conditions set forth below. MEDPRICE.COM may modify this agreement at any time, without notice, and such modifications shall be effective immediately upon posting of the modifications.

TERMS OF SERVICE

Conducting a search for a Healthcare Provider: Not all healthcare providers listed, are Associates of MEDPRICE.COM. When selecting a healthcare provider who is not indicated as an Associate of MEDPRICE.COM , it must be assumed that full retail pricing will be charged. We at MEDPRICE.COM realize that there may be other (additional services) required by you, that may be discovered at your Office Visit/Service Appointment.

DISCLAIMER of WARRANTIES and LIABILITIES

You understand and accept that the information provided by MEDPRICE.COM is in no way a substitute for legal or medical advice. The information found on MEDPRICE.COM is both self-reported, by the healthcare provider and/or office staff.MEDPRICE.COM denies liability for, accuracy of data, timeliness, any guarantee, warranty, representation, implied or expressed, including without limitation, merchantability or fitness for a particular purpose of the information contained on the  MEDPRICE.COM web site nor in any way does MEDPRICE.COM endorse the individuals described at MEDPRICE.COM.

In no event shall MEDPRICE.COM  be liable to you or anyone else for any decision made or action taken by you in reliance on such information or as any matter whatsoever relating to the services provided. Such services are to be considered for reference and informational only and in no way do they constitute a healthcare provider – patient relationship. Furthermore, no healthcare provider listed or described at MEDPRICE.COM makes any representation, claim or endorsement for any other person listed or described at MEDPRICE.COM. 

 

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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:
Location: , , , ,
Phone:

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.