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Get and Sign New Patient Information and Consent Doctors Care 2019-2022

Get and Sign New Patient Information and Consent Doctors Care 2019-2022

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Or other tests from another physician hospital clinic etc. please bring them with you the day of your appointment. Payments at time of visit- Indiana Spine Group P. C. accepts cash checks Visa and Mastercard. I understand that nonsufficient fund checks will have a 30. This bill will be from Indiana Spine Group or EMPI. 5. Radiology This charge represents the charge for interpreting the results of certain Xrays MRI s or CT s. D. Paul Kraemer M. D. Jaclyn Demeter PA-C Kevin Macadaeg M. D. Justin...
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