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Get Nv Dignity Health Medical Group Rdl Clinic Adult Patient Form 2014-2025

Cash, check, MasterCard, Visa, American Express and Discover. Cancellation Policy Our office requires a 24 hour notification if you need to change or cancel your appointment. Failing to do so will result in a $25.00 charge. Referral IF AN AUTHORIZATION OR REFERRAL IS REQUIRED FOR A SPECIALIST, IT MUST BE RECEIVED BY OUR OFFICE PRIOR TO YOUR APPOINTMENT WITH OUR DOCTOR. PLEASE CONTACT YOUR PRIMARY CARE PHYSICIAN TO VERIFY THE REFERRAL HAS BEEN RECEIVED BY OUR OFFICE. Patient Appointment For th.

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