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Payment and co-pays are expected at the time of the visit. We not associated ourselves with contents of sites on which conduct references from reen site, and do not bear responsibility for their maintenance! Patient Consent Patient Consent This document provides the patient consent for use and disclosure of protected health information information.

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Thank you If your insurance plan is not listed, please call the office for information. Thundaload.

Referrals are best accomplished through your primary care provider. If not done at the time of the visit, we request either a stamped self addressed envelope or a fax.

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We not associated ourselves with contents of sites on which conduct references from our xhat, and do not bear responsibility for their maintenance! School and Camp Forms We are happy to complete school and camp forms if your child has been seen in the office within the past 12 months.

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