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Payment Due At Time Of Service

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Payments Due At Time Of Service Sign NHE-33991_GRN

PAYMENTS DUE AT TIME OF SERVICE

NHE-33991_GRN
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OSHA Payments Due At Time Of Service Sign ONE-33991

PAYMENTS DUE AT TIME OF SERVICE

ONE-33991
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Portrait Payments Of All Co-Pays, Deductibles Sign NHEP-33958_RED

PAYMENTS OF ALL CO-PAYS, DEDUCTIBLES AND/OR COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHEP-33958_RED
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Payments Of All Co-Pays, Deductibles And/Or Coinsurance Sign NHE-33958

PAYMENTS OF ALL CO-PAYS, DEDUCTIBLES AND/OR COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHE-33958
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Payments Of All Co-Pays, Deductibles And/Or Sign NHE-33958_RED

PAYMENTS OF ALL CO-PAYS, DEDUCTIBLES AND/OR COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHE-33958_RED
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Portrait Payments Of All Co-Pays, Deductibles Sign NHEP-33958

PAYMENTS OF ALL CO-PAYS, DEDUCTIBLES AND/OR COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHEP-33958
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ANSI All Co-Pays And Deductibles Are Due At Time Sign ANE-33931

All co-pays and deductibles are due at time of service

ANE-33931
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OSHA All Co-Pays And Deductibles Are Due At Time Sign ONE-33931

ALL CO-PAYS AND DEDUCTIBLES ARE DUE AT TIME OF SERVICE

ONE-33931
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Portrait OSHA All Co-Pays And Deductibles Are Sign ONEP-33931

ALL CO-PAYS AND DEDUCTIBLES ARE DUE AT TIME OF SERVICE

ONEP-33931
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OSHA Co-Pays, Deductibles And Coinsurance Are Sign ONE-33940

CO-PAYS, DEDUCTIBLES AND COINSURANCE ARE DUE AT THE TIME OF SERVICE

ONE-33940
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Portrait Co-Pays, Deductibles And Coinsurance Sign NHEP-33940_BLU

CO-PAYS, DEDUCTIBLES AND COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHEP-33940_BLU
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Co-Pays, Deductibles And Coinsurance Are Sign NHE-33940_BLU

CO-PAYS, DEDUCTIBLES AND COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHE-33940_BLU
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Portrait OSHA Co-Pays, Deductibles And Coinsurance Sign ONEP-33940

CO-PAYS, DEDUCTIBLES AND COINSURANCE ARE DUE AT THE TIME OF SERVICE

ONEP-33940
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Portrait Co-Pays, Deductibles And Coinsurance Sign NHEP-33940

CO-PAYS, DEDUCTIBLES AND COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHEP-33940
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ANSI Payments Due At Time Of Service Sign ANE-33991

Payments due at time of service

ANE-33991
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Portrait ANSI Payments Due At Time Of Service Sign ANEP-33991

Payments due at time of service

ANEP-33991
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Payments Due At Time Of Service Sign NHE-33991

PAYMENTS DUE AT TIME OF SERVICE

NHE-33991
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Portrait Payments Due At Time Of Service Sign NHEP-33991

PAYMENTS DUE AT TIME OF SERVICE

NHEP-33991
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Portrait Payments Due At Time Of Service Sign NHEP-33991_GRN

PAYMENTS DUE AT TIME OF SERVICE

NHEP-33991_GRN
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Portrait OSHA Payments Due At Time Of Service Sign ONEP-33991

PAYMENTS DUE AT TIME OF SERVICE

ONEP-33991
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OSHA All Co-Pays, Coinsurance And/Or Deductibles Sign ONE-33930

ALL CO-PAYS, COINSURANCE AND/OR DEDUCTIBLES ARE DUE AT TIME OF SERVICE THANK YOU MANAGEMENT

ONE-33930
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Portrait All Co-Pays, Coinsurance And/Or Deductibles Sign NHEP-33930

ALL CO-PAYS, COINSURANCE AND/OR DEDUCTIBLES ARE DUE AT TIME OF SERVICE THANK YOU MANAGEMENT

NHEP-33930
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Portrait OSHA All Co-Pays, Coinsurance And/Or Sign ONEP-33930

ALL CO-PAYS, COINSURANCE AND/OR DEDUCTIBLES ARE DUE AT TIME OF SERVICE THANK YOU MANAGEMENT

ONEP-33930
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Co-Pay Is Due At The Time Of Visit Please Sign NHE-34017_BRN

CO-PAY IS DUE AT THE TIME OF VISIT PLEASE PRESENT YOUR PHOTO ID AND INSURANCE CARDS(S) AT TIME OF CHECK-IN THANK YOU SORRY NO CHECKS WE ACCEPT VISA, MASTERCARD AND DISCOVER

NHE-34017_BRN
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ANSI Payments Of All Co-Pays, Deductibles And/Or Sign ANE-33958

Payments of all co-pays, deductibles and/or coinsurance are due at the time of service

ANE-33958
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Portrait ANSI Payments Of All Co-Pays, Deductibles Sign ANEP-33958

Payments of all co-pays, deductibles and/or coinsurance are due at the time of service

ANEP-33958
Quick add
OSHA Payments Of All Co-Pays, Deductibles And/Or Sign ONE-33958

PAYMENTS OF ALL CO-PAYS, DEDUCTIBLES AND/OR COINSURANCE ARE DUE AT THE TIME OF SERVICE

ONE-33958
Quick add
Portrait OSHA Payments Of All Co-Pays, Deductibles Sign ONEP-33958

PAYMENTS OF ALL CO-PAYS, DEDUCTIBLES AND/OR COINSURANCE ARE DUE AT THE TIME OF SERVICE

ONEP-33958
Quick add
All Co-Pays And Deductibles Are Due At Time Of Service Sign NHE-33931

ALL CO-PAYS AND DEDUCTIBLES ARE DUE AT TIME OF SERVICE

NHE-33931
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Portrait All Co-Pays And Deductibles Are Due Sign NHEP-33931

ALL CO-PAYS AND DEDUCTIBLES ARE DUE AT TIME OF SERVICE

NHEP-33931
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Portrait ANSI All Co-Pays And Deductibles Are Sign ANEP-33931

All co-pays and deductibles are due at time of service

ANEP-33931
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Co-Pays, Deductibles And Coinsurance Are Due Sign NHE-33940

CO-PAYS, DEDUCTIBLES AND COINSURANCE ARE DUE AT THE TIME OF SERVICE

NHE-33940
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ANSI Co-Pays, Deductibles And Coinsurance Are Sign ANE-33940

Co-pays, deductibles and coinsurance are due at the time of service

ANE-33940
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Portrait ANSI Co-Pays, Deductibles And Coinsurance Sign ANEP-33940

Co-pays, deductibles and coinsurance are due at the time of service

ANEP-33940
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Portrait All Co-Payments Are Collected At The Sign NHEP-34052

ALL CO-PAYMENTS ARE COLLECTED AT THE TIME OF SERVICE IN ADDITION, DUE TO THE GROWING TREND TOWARD HIGH DEDUCTIBLE PLANS, PLEASE BE AWARE THAT WE WILL COLLECT AN ESTIMATED PAYMENT FOR OUR SERVICES AT THE TIME OF CHECKOUT SHOULD YOUR INSURANCE PAY THESE PROCEDURES IN FULL, WE WILL REFUND YOUR PAYMENT UPON RECEIPT OF THE INSURANCE PAYMENT THANK YOU

NHEP-34052
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Portrait OSHA All Co-Payments Are Collected Sign ONEP-33976

ALL CO-PAYMENTS ARE COLLECTED AT THE TIME OF SERVICE IN ADDITION, DUE TO THE GROWING TREND TOWARD HIGH DEDUCTIBLE PLANS, PLEASE BE AWARE THAT WE WILL COLLECT AN ESTIMATED PAYMENT FOR OUR SERVICES AT THE TIME OF CHECKOUT SHOULD YOUR INSURANCE PAY THESE PROCEDURES IN FULL, WE WILL REFUND YOUR PAYMENT UPON RECEIPT OF THE INSURANCE PAYMENT THANK YOU

ONEP-33976
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Portrait OSHA Co-Payments Are Due At Time Of Sign ONEP-33939

CO-PAYMENTS ARE DUE AT TIME OF SERVICE IF YOU WOULD LIKE US TO BILL YOU THERE IS A $10 PROCESSING FEE

ONEP-33939
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ANSI Co-Payments Are Due At Time Of Service If Sign ANE-33939

Co-payments are due at time of service If you would like us to bill you there is a $10 processing fee

ANE-33939
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Co-Payments Are Due At Time Of Service If You Sign NHE-33939

CO-PAYMENTS ARE DUE AT TIME OF SERVICE IF YOU WOULD LIKE US TO BILL YOU THERE IS A $10 PROCESSING FEE

NHE-33939
Quick add
Portrait Co-Payments Are Due At Time Of Service Sign NHEP-33939

CO-PAYMENTS ARE DUE AT TIME OF SERVICE IF YOU WOULD LIKE US TO BILL YOU THERE IS A $10 PROCESSING FEE

NHEP-33939
Quick add
OSHA Co-Payments Are Due At Time Of Service If Sign ONE-33939

CO-PAYMENTS ARE DUE AT TIME OF SERVICE IF YOU WOULD LIKE US TO BILL YOU THERE IS A $10 PROCESSING FEE

ONE-33939
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Portrait ANSI Co-Payments Are Due At Time Of Sign ANEP-33939

Co-payments are due at time of service If you would like us to bill you there is a $10 processing fee

ANEP-33939
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ANSI All Co-Pays, Coinsurance And/Or Deductibles Sign ANE-33930

All co-pays, coinsurance and/or deductibles are due at time of service Thank you Management

ANE-33930
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Portrait ANSI All Co-Pays, Coinsurance And/Or Sign ANEP-33930

All co-pays, coinsurance and/or deductibles are due at time of service Thank you Management

ANEP-33930
Quick add
All Co-Pays, Coinsurance And/Or Deductibles Are Sign NHE-33930

ALL CO-PAYS, COINSURANCE AND/OR DEDUCTIBLES ARE DUE AT TIME OF SERVICE THANK YOU MANAGEMENT

NHE-33930
Quick add
Portrait Co-Pay Is Due At The Time Of Visit Sign NHEP-34017_BRN

CO-PAY IS DUE AT THE TIME OF VISIT PLEASE PRESENT YOUR PHOTO ID AND INSURANCE CARDS(S) AT TIME OF CHECK-IN THANK YOU SORRY NO CHECKS WE ACCEPT VISA, MASTERCARD AND DISCOVER

NHEP-34017_BRN
Quick add
ANSI Co-Pay Is Due At The Time Of Visit Please Sign ANE-33941

Co-pay is due at the time of visit Please present your photo ID and insurance card(s) at time of check-in Thank you Sorry no checks We accept Visa, Mastercard and Discover

ANE-33941
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Portrait ANSI Co-Pay Is Due At The Time Of Visit Sign ANEP-33941

Co-pay is due at the time of visit Please present your photo ID and insurance card(s) at time of check-in Thank you Sorry no checks We accept Visa, Mastercard and Discover

ANEP-33941
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