Which document outlines the professional agreement between a provider and a patient regarding payment?

The financial policy statement is the correct answer because it explicitly outlines the agreement between a healthcare provider and a patient concerning payment responsibilities, billing practices, and any financial obligations associated with receiving care. This document typically details aspects such as co-pays, deductibles, acceptable payment methods, and any policies regarding unpaid bills or financial assistance. It serves to ensure transparency regarding the financial aspects of the patient-provider relationship and allows patients to understand their obligations before receiving services.

The patient insurance card contains information about the patient's insurance coverage but does not outline payment agreements directly between the provider and the patient. The RY plan does not pertain to financial arrangements in healthcare; it likely refers to a different concept. The patient registration form, while it may gather basic personal information and insurance details, does not address the professional agreement related to payment specifically. Thus, the financial policy statement is essential in establishing a clear understanding of payment expectations.