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Lora Williams, MS, RD, LD Dietitian 721 N. Locust St. Denton, TX 76201 (940) 380.8780 INSURANCE AUTHORIZATION, ASSIGNMENT, AND BENEFICIARY NON COVERAGE AGREEMENT (Please initial that you have read
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Individuals completing official forms or documents that require personal identification or verification may need to provide their initials.
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Please initial that you is a form used to indicate approval or agreement by placing one's initials on a document or agreement.
Anyone who needs to indicate their agreement or approval on a document may be required to file please initial that you.
To fill out please initial that you, simply place your initials in the designated area on the document that requires your approval or agreement.
The purpose of please initial that you is to provide a clear and concise way for individuals to indicate their approval or agreement on a document.
The only information required on please initial that you is the individual's initials to signify their approval or agreement.
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