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Get and Sign MediPace of Beverly Hills, Inc  Form

Get and Sign MediPace of Beverly Hills, Inc Form

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Discharge from Practice Victor Gura M. D. reserves the right to discharge any patient from the practice that he feels is non-compliant abusive verbally or physically toward the staff or himself. Other potential reasons for discharge from practice include but are not limited to repeated no show/cancellations medication abuse inappropriate behavior or unpaid account balances. Initials No Show/Cancellation Fee If I am a no show for an appointment or if I do not provide 24 hours notice for...
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