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Dr. Galena Mahdis, ND Statement of Financial Responsibility I, (or the patient named below for whom I am legally responsible), understand and agree to the following financial responsibilities pertaining
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Dr. Galina Mahlis ND refers to a naturopathic doctor who specializes in naturopathic medicine.
Individuals who have received treatment or consultation from Dr. Galina Mahlis ND may be required to file relevant forms for insurance or tax purposes.
To fill out Dr. Galina Mahlis ND forms, individuals should provide accurate information about their treatment, services received, and any relevant billing information.
The purpose of Dr. Galina Mahlis ND forms is to document and report the services and treatments provided by a naturopathic doctor for insurance claims or tax deductions.
Information such as patient details, treatment dates, services provided, billing codes, and any additional remarks may need to be reported on Dr. Galina Mahlis ND forms.
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