Case File
efta-efta00504242DOJ Data Set 9OtherI have paperwork you must complete for tomorrows appointment w/Dr. =
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DOJ Data Set 9
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efta-efta00504242
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I have paperwork you must complete for tomorrows appointment w/Dr. =
Lighvani. I have filled out all I can=E2=80=A6there are personal =
questions for you as well as your signature is needed in areas=E2=80=A6I =
will leave on the DR table for you=E2=80=A6The doctor asks you please =
bring this paperwork with you to your appointment. I have a copy of the =
front and back of your insurance card attached=E2=80=A6.they will not =
let me prepay your copay=E2=80=A6please have a CC with you to pay the =
$30!!
EFTA00504242
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