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DX: THERAPIST NAME:MARSHA L. GETTER, Licit this is NEW INS. INFO for an existing patient, please list the effective date of the new policy here: PATIENT & INSURANCE INFORMATION PLEASE PRINT Patients
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This refers to a new regulation or form that has been introduced.
Individuals or entities that meet the criteria set out in the new regulation must file.
Filling out the new form involves following the instructions provided by the regulatory body, including providing accurate information and necessary documentation.
The purpose is often to ensure compliance with legal requirements and gather necessary data for regulatory oversight.
Required information typically includes personal or business identification, financial details, and any relevant supporting documents.
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