I don't recall if there was a specific time when acknowledging one's responsibility to pay for services are rendered started, insurance or not, but I can't remember a time when I didn't have to sign a similar agreement when filling out similar forms. I'm sure it's done because of providers being stiffed too often by patients or clients. Most though are not target of this requirement and people shouldn't take this requirement personal, unless of course they're one of those big stiffs being targeted!
Urban Dictionary: stiff
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ARE VILLAGERS OLD OR ARE THEY RECYCLED TEENAGERS
At my age rolling out of bed in the morning is easy.
Getting up off the floor is another story.
"SMILE... TOMORROW MAY BE EVEN WORSE!"