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Directory Results for Images for Assignment of Release of InsuranceBy initialing I certify that I, and/or my dependent(s) have coverage with the insurance company indicated on the patient profile and assign directly to Dr. Jessica N. Lemons all insurance benefits, to Images for ASSIST (Autism & Sensory Support in Staffordshire)SP Protective Marking Security Level:Kingston Centre Fairway Stafford, ST16 3TW Telephone: (01785) 356835 Fax: (01785) 356841 Email: assiststaffordshire.gov.uk Website: www.stafford

Images for Assignment of Release of InsuranceBy initialing I certify that I, and/or my dependent(s) have coverage with the insurance company indicated on the patient profile and assign directly to Dr. Jessica N. Lemons all insurance benefits,
Images for ASSIST (Autism & Sensory Support in Staffordshire)SP Protective Marking Security Level:Kingston Centre Fairway Stafford, ST16 3TW Telephone: (01785) 356835 Fax: (01785) 356841 Email: assiststaffordshire.gov.uk Website: www.stafford