Promise Promissory Note For Hospital Bill Template for Saudi Arabia

The Promise Promissory Note For Hospital Bill is utilized in Saudi Arabian healthcare settings when patients require a formal arrangement to pay their medical expenses over time. This document becomes necessary when immediate full payment is not possible, but the healthcare facility needs a legally binding commitment for future payment. It combines elements of both healthcare administration and Islamic finance, ensuring compliance with Saudi Arabia's dual legal system of civil law and Sharia principles. The document typically includes details of the medical services provided, the total amount owed, a payment schedule, and the consequences of default. It must be structured to avoid any elements of traditional interest (riba) while maintaining enforceability under Saudi commercial regulations. Healthcare facilities commonly use this type of promissory note to manage their accounts receivable while providing patients with flexible payment options that respect local legal and religious requirements.

1. Title and Date: Clear identification of the document as a Promissory Note, including the date of issuance

2. Parties Information: Full legal names, addresses, and identification numbers of both the promisor (patient/guarantor) and promisee (hospital)

3. Promise to Pay: Unconditional promise to pay a specific amount, clearly stating the principal sum owed for medical services

4. Payment Terms: Detailed payment schedule, including installment amounts, due dates, and method of payment

5. Default Provisions: Consequences of missing payments and circumstances that constitute default

6. Jurisdiction and Governing Law: Statement that the note is governed by Saudi Arabian law and Sharia principles

7. Signature Block: Space for signatures of the promisor, witness(es), and official stamps if required