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Get UT Oral And Maxillofacial Surgery New Patient Welcome Letter 2011

Pportunity to evaluate and manage your oral surgical needs. For your convenience we are enclosing some forms and information to prepare you for your first visit. Please complete the Registration Form and Medical Questionnaire and read and sign the Financial Policy and HIPAA Compliance form. In addition to those forms, you will need to bring your medical/dental insurance card(s). If you are a member of an HMO plan, a written referral/authorization is required and you are responsible for obtaining.

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