We are dedicated to addressing your healthcare and financial needs. We are pleased to announce that we now offer E-Statements. E-Statements allow you to receive your monthly statements via email, replacing paper statements. By signing below, you agree to the following terms:

1. I understand that it is my responsibility to keep a current email address on file and that I will not receive mailed copies of electronic statements.

2. I authorize the practice and/or its designated provider to send electronic account statements and invoices to my email address on file.

3. I am responsible for paying the balance by its due date to avoid any potential interest charges.