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CAROLINA PARTNERS IN MENTAL HEALTHCARE
STATEMENTS FOR MENTAL HEALTH AND WELLNESS SERVICES

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Unless you specifically request not to receive a statement, you will be billed on a monthly basis for any past due balance you may owe. Payment of all services is expected within 30 days of the date they were rendered. Processing past due accounts is expensive and Carolina Partners reserves the right to add a finance charge to any past due balance accrued. This charge shall not exceed 1 1/2% per month (an annual percentage rate of 18%). Accounts with balances more than three months old may be referred to a collection agency for processing.