EFTA02232889.pdf
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To: •• Ueevacationagmail.comj
From:
Sent Wed 12/13/2017 2:10:11 PM
Subject: Re:
I am having the office email me now what needs to be filled out...she said it is standard stuff
(name, DOB, referring doctor)...I will fill out and fax back. There is no copay today (you will be
billed if anything) Take your ID and insurance card.
On Dec 13, 2017, at 8:50 AM, wrote:
will i have to fill out papers etc?
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EFTA_R1_00989004
EFTA02232889
ℹ️ Document Details
SHA-256
5d45f0a2ef7022f94f57e6dddc8dc03566a961407085389df2550a153a9f0a40
Bates Number
EFTA02232889
Dataset
DataSet-11
Type
document
Pages
1
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