This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.
We acknowledge that our clinics are located on traditional, ancestral, and contemporary lands of Indigenous people who cared for and called these lands home for generations. Our clinics reside on Ojibwe and Dakota lands, and we recognize that the spirit of the Ojibwe and Dakota permeates these lands. The land we reside on has great spiritual and historical significance for Indigenous peoples past and present. We strive to build tribal relations and support tribal sovereignty in our community.
Cancellation Policy:
Your Payor's PAD agreement may be cancelled provided notice is received 30 days before the next scheduled PAD. If any of the above details are incorrect, please contact us immediately. If the details are correct, you do not need to do anything further and your Pre-Authorized Debits will be processed and start on the Payment Start Date indicated.
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Recourse Statement:
You have certain recourse rights if any debit does not comply with these terms. For example, you have the right to receive a reimbursement for any PAD that is not authorized or is not consistent with this PAD agreement. To obtain more information on your recourse rights, contact your financial institution or visit www.nacha.org.
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