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D. P. A. Doctors of Optometry dba TMS Eyecare. I understand that I am financially responsible for any charges whether or not paid by said insurance. If my insurance company or health plan designates co-payments co-insurance and/or deductibles I agree to pay them to TMS Eyecare at the time of service. You are responsible for co-pays co-insurance deductibles and any fees for services not covered by your plan. Payment for co-pays and noncovered services are due upon completion of the examination...
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