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Get Acknowledgement Of Scope Of Services Form - Inova Health System - Inova

Settings that are more convenient with prompt and immediate responses. Inova VIP 360 is not a health benefit or health insurance program, and does not include payment for clinical services, or reimbursement for clinical services provided to me. For clinical services, all insurance, co-pay and/or Medicare rules for service and billing apply, as required by these entities and the Office of the Inspector General. 2. I acknowledge and agree that all healthcare services provided to me under this.

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