ihealthspot interactive€¦ · guarantee of payment: in consideration of all medical services...

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Page 1: iHealthSpot Interactive€¦ · GUARANTEE OF PAYMENT: In consideration of all medical services given by Ahmad Family Primary Care to the patient named above, I agree to pay Ahmad
Page 2: iHealthSpot Interactive€¦ · GUARANTEE OF PAYMENT: In consideration of all medical services given by Ahmad Family Primary Care to the patient named above, I agree to pay Ahmad
Page 3: iHealthSpot Interactive€¦ · GUARANTEE OF PAYMENT: In consideration of all medical services given by Ahmad Family Primary Care to the patient named above, I agree to pay Ahmad