Top Banner
1

KEVIN B. FITZGERALD, M.D. 1 FRANK H. ROLAND, JR., M.D. to furnish information to insurance carriers concerning my illness and treatments, and I hereby assign to the physician(s) all

Feb 20, 2020

Download

Documents

dariahiddleston
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: KEVIN B. FITZGERALD, M.D. 1 FRANK H. ROLAND, JR., M.D. to furnish information to insurance carriers concerning my illness and treatments, and I hereby assign to the physician(s) all