Service / Fee Record

Clinic per-visit checkout Service/Fee Record (master 'Service Fee Sheet Maser Copy.pdf'). Front desk itemizes services rendered and totals at checkout; fixed cash prices are pre-printed from the single-source fee schedule (apps/intake-svc/src/fee_schedule.rs), variable/per-visit lines left blank. Prices are hardcoded pending cut-over to the synced fee table. Captures only patient identity; the fee lines and MD/front-desk signature are rendered in the paper page.

Your answers go straight to your clinician — no paper, no lost pages. Staff can help at any time.