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I. ASIGNACI N DE LAS VENTAJAS DE SEGURO Autorizo el pago de ventajas m dicas si no pagadero a m a los asociados m dicos de Brownsville para todos los servicios que proporcionan. Entiendo que soy financieramente responsable a los asociados m dicos de Brownsville de las cargas no cubiertas por esta asignaci n. Autorizo a asociados m dicos del lanzamiento de Brownsville a mi compa a de seguros cualquier informaci n m dica para procesar de una demanda. Autorizo a asociados m dicos de Brownsville...
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Fecha de hoy translates to 'today's date' in English.
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