Mecklenburg North Carolina Letter regarding Irrevocable Assignment and Lien

State:
Multi-State
County:
Mecklenburg
Control #:
US-PI-0014
Format:
Word; 
Rich Text
Instant download

Description

This form authorizes the release of the client's medical information to the client's attorney and creates an irrevocable assignment and lien on the proceeds of any judgment for medical bills and expenses.
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Mecklenburg North Carolina Letter regarding Irrevocable Assignment and Lien