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1. Payment Plan Details: Specific section for patients requiring installment payments, including detailed payment schedule and conditions

2. Third-Party Payer Provisions: Additional terms when payments are made by a third party (e.g., family member, guardian, or organization)

3. Financial Hardship Provisions: Terms for handling cases where patients demonstrate financial hardship, including potential payment adjustments

4. International Patient Provisions: Additional terms for non-Belgian residents, including currency conversion and international payment methods

5. Insurance Assignment: Specific terms when the patient assigns insurance benefits directly to the healthcare provider

1. Fee Schedule: Detailed breakdown of all applicable medical fees and services costs

2. Payment Schedule: If applicable, detailed timeline of installment payments including amounts and due dates

3. Insurance Information Form: Template for recording patient's insurance details and coverage information

4. Direct Debit Authorization Form: Standard form for setting up automatic payments from patient's bank account

5. Privacy Notice: Detailed GDPR-compliant privacy notice explaining how financial and personal data will be processed