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HEMATOLOGY ONCOLOGY CONSULTANTS, INC. FINANCIAL RESPONSIBILITY CONSENT FORM Patient Name: Date of Birth: ASSIGNMENT OF INSURANCE BENEFITS: I hereby authorize direct payment of my insurance benefits
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Hematology Oncology Consultants Inc. is a medical practice specializing in the treatment of blood disorders and cancer.
The healthcare professionals and administrators responsible for managing the business operations of Hematology Oncology Consultants Inc. are required to file.
The form for filing Hematology Oncology Consultants Inc. can be filled out online or through the mail, providing all required information accurately.
The purpose of Hematology Oncology Consultants Inc. is to provide quality medical care and treatment for patients with blood disorders and cancer.
Information such as financial statements, patient records, treatment protocols, and any relevant certifications must be reported on Hematology Oncology Consultants Inc.
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