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Insurance Information – Premier Foot & Ankle Care

WEBOhio Health Choice (Access, Preferred) Ohio Preferred Network (PPO) Paramount Advantage (Medicaid) SummaCare Commercial (Commercial- Fully and Self-insured) …

Actived: 8 days ago

URL: https://www.premierdpm.com/about-our-practice/insurance-information/

AUTHORIZATION FOR USE AND DISCLOSURE OF PROTECTED …

WEB01/31/18 revised page 1 of 1 authorization for use and disclosure of protected health information _____ _____ _____ patient name date of birth last 4 of ss#

Category:  Health Go Health

New Patient Paperwork – Premier Foot & Ankle Care

WEBColumbia Woods Medical Center 3300 Greenwich Rd Suite 8 Norton, Ohio 44203

Category:  Medical Go Health