Financial Guarantor Agreement

This agreement will remain in effect until written notice of alternate payment arrangements are provided to Brad Johns, MD | Psychopharmacology & Psychotherapy. The current Guarantor is responsible for any and all charges incurred prior to receipt of notification of other arrangements. If you wish to change Guarantors, please have the newly appointed Guarantor complete a separate Guarantor Agreement with Brad Johns, MD | Psychopharmacology & Psychotherapy.

PLEASE NOTE WE ARE NOT IN-NETWORK WITH ANY INSURANCE POLICIES.  SUPERBILLS CAN BE PROVIDED UPON REQUEST.