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RICHTER/HOROWITZPACIFICCENTERFORPLASTICSURGERY.COM DOB:Please initial each clause and sign below to indicate you have read and understand the fee agreement. Pacific Center for Plastic Surgery requires
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Each clause must be signed or initialed by the party agreeing to it.
All parties involved in the agreement are required to file it.
Simply sign or initial next to each clause to indicate agreement.
The purpose is to ensure all parties have reviewed and agreed to the terms of each clause.
Any relevant information related to the agreement or contract.
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