Free Medical Credit Agreement Template
Medical Credit Agreement
This Medical Credit Agreement ("Agreement") is entered into by and between the following parties:
1. Healthcare Provider: ArcoSoft, with its principal place of business located at [Address], hereinafter referred to as "Provider".
2. Patient: Orlando Mills, residing at Miami, FL 33101, hereinafter referred to as "Patient".
Purpose
The purpose of this Agreement is to provide the Patient with a line of credit for medical services rendered by the Provider. This Agreement outlines the terms and conditions under which the credit shall be extended and repaid.
Credit Terms
Credit Limit
The Provider agrees to extend a line of credit to the Patient up to a maximum limit of [Credit Limit Amount] dollars.
Interest Rate
The outstanding amount shall accrue interest at a rate of [Interest Rate]% per annum, calculated monthly on the unpaid balance.
Payment Terms
Payments will be due on the [Due Date] of each month. The Patient agrees to make monthly payments in the amount of [Monthly Payment Amount] dollars until the total amount, including accumulated interest, is paid in full.
Default
In the event the Patient fails to make any scheduled payment within 25 days of the due date, the Provider may declare the entire outstanding balance, including accrued interest, immediately due and payable. The Patient agrees to pay any reasonable collection costs, including attorney's fees, incurred by the Provider as a result of such default.
Termination
This Agreement shall terminate upon full repayment of the line of credit or upon mutual written agreement by both the Provider and the Patient. Upon termination, neither party shall have any further obligations under this Agreement, except as provided herein.
Amendments
This Agreement may only be modified or amended in writing signed by both the Provider and the Patient. Any modification or amendment shall be effective only upon execution by both parties.
Governing Law
This Agreement shall be governed by and construed in accordance with the laws of the State of [State Name], without regard to its conflict of laws principles.
Entire Agreement
This Agreement constitutes the entire agreement between the parties concerning the subject matter hereof and supersedes all prior agreements and understandings, whether written or oral, relating to such subject matter.
Signatures
IN WITNESS WHEREOF, the parties have executed this Medical Credit Agreement as of the [Effective Date].
Party A:
Party B:
