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- AL AllSouth Urgent Care Patient Registration Form 2016
Get AL AllSouth Urgent Care Patient Registration Form 2016-2024
Policy. I understand that payment of charges incurred is due at the time of service unless other definite financial arrangements have been made prior to treatment. I agree to pay all reasonable attorney fees and collection costs in the event of default of payment of my charges. I authorize medical treatment by AllSouth Urgent Care physicians & personnel. Such treatment to include but not limited to injections, medications procedures as recommended by the physician. I understand there are possibl.
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