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MY FAMILY DOCTOR, LLC info myfamilydoctorboulder.com Phone: 3034447150 Fax: 3035576274 PATIENT AGREEMENT Please initial each paragraph and sign the second page. Patients Name (please print): Date
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Who needs patient agreementdoc - myfamilydoctor:
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Individuals seeking medical treatment from a healthcare provider associated with the MyFamilyDoctor clinic.
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