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PATIENT FINANCIAL POLICY
AND SIGNATURE ON FILE
Instructions: Please
click below to open this form. Then print it out on
your printer, read it, sign it, and then please bring
it with you to your first appointment. Please click
on our General Office Policies section for important
new patient information.
Click
here to view and print this form.
To
view the document above you may need a free
program called Adobe Reader®. This program
may already be on your computer. If not you
can download it for free by clicking on the
link. |
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