​Credit transactions over $25,000 are exempt from the TILA unless:

A) ​the patient has signed a promissory note
B) ​the provider/practice has waived the fee
C) ​there is a security interest taken in real property or a mobile home
D) ​there is no way to collect from the patient or his/her family

TILA (Truth in Lending Act)

A United States federal law designed to protect consumers in their dealings with lenders and creditors by requiring clear disclosure of key terms of the lending arrangement and all costs.

Promissory Note

A written, legally binding agreement in which one party promises to pay another a specified sum of money at a specified time.

Security Interest

A legal claim or right on collateral granted to a lender, ensuring the collection of a debt or obligation.