Dental Office Business Plan

Claim a lien for medical services to make sure you get paid. Have your patients sign this Colorado Doctor's Lien and Patient Consent at the time that treatment is provided.

• The patient consents to the treatment and authorizes the medical facility to release his/her patient information regarding the accident or injury for which the patient is being treated, for purposes of the injury claim.
• The patient agrees to be personally liable for paying the medical provider's fees regardless of the outcome of the patient's claim.
• The patient gives the medical provider an irrevocable lien on any settlement or damages awarded to the patient and directs his/her attorney to satisfy the lien out of those proceeds.
• The patient will notify the medical provider if he/she retains new legal counsel.

Don't risk not being paid for your services. Get this Colorado Doctor's Lien and Patient Consent form today.

Oregon health care providers, protect your lien rights and make sure your fees get paid with this Medical Services Lien form.

• The lien is claimed by a hospital, clinic, physician or other service provider for any unpaid amount for hospitalization or medical services rendered to a patient, and is claimed against the proceeds of any claim for compensation or damages made by the patient.
• The form includes a copy of ORS 87.565, which explains how the lien form must be filed and served.
• Buy the form once, and it's yours to use as often as you require.
• Available in MS Word format.
• Intended to be used only in the State of Oregon.

Make sure your fees for medical services get paid. Have your patients sign this Wisconsin Doctor's Lien and Patient Release.

• You can claim a lien for the fees for medical services provided to a patient with respect to accidents or injuries caused by third parties (including injuries sustained on the job).
• The patient must give his/her consent for the release of any medical information required for purposes of the patient's injury claim.
• The medical practitioner has an irrevocable lien on any settlement or damages awarded. The amount of the lien will be paid from any damages or settlement amounts paid to the patient.
• Regardless of whether or not the patient's injury claim is successful, the patient remains legally liable for paying the full amount of the fees.

Don't risk not getting paid. Download this Wisconsin Doctor's Lien and Patient Release Form for your facility.

Bring an associate into your chiropractic practice with this template Chiropractor Associate Contract. Provisions of the agreement include:

• Facilities and services to be provided by the chiropractic clinic to the associate;
• Number of hours the associate is expected to work;
• Billings and collections procedures;
• Ownership of and responsibility for patient files;
• The associate will have first right of refusal to buy the chiropractic clinic if the owner decides to sell.

The Chiropractor Associate Contract is provided in MS Word format, and is fully editable to fit your exact circumstances.