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Evanson. time of service. The copayment is only an estimate of charges and may be found to be insufficient after reviewed by the insurance company. Angela Evanson considered a missed appointment and is subject to a missed appointment fee. appointment in a 12-month span. exceeding 60 days unless written financial arrangements are made. Please initial the following provisions indicating that you understand our terms and conditions. I understand as a courtesy to me Dr. Evanson responsible for...
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