Sample Credit Card Authorization Policy Form for Medical Practices

Use this sample patient credit card authorization policy to ensure your medical practice is able to collect what it is owed.

As patients shoulder more of their healthcare costs, practices must step up their patient payment collection efforts to ensure they are paid appropriately for the services they provide.

One smart tactic to consider: Storing patient credit card information electronically.

• Click here for a sample patient credit card authorization form provided by Susanne Madden, president and CEO of the Verden Group consulting firm.

• Click here for more information on why practices should store patient credit card information, and how they can go about storing it securely.

Remember: It's always a good idea to check with an attorney prior to implementing a new policy at your practice.