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Patient Agreement 7475 Skillman, Suite 103B Dallas, TX 75231 ×214× 221.0855 HIM is a nongovernmental, nonprofit agency which is designed to provide health care to those families in Dallas County
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How to Fill Out "I Understand and Agree":
01
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The purpose is to ensure that individuals are aware of and agree to certain rules, regulations, or terms before proceeding.
What information must be reported on i understand and agree?
The individual's acknowledgment and agreement to the specified terms or conditions.
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