willow women & children's wellness & aurora birth center...payment and/or copayment is...

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Page 1: Willow Women & Children's Wellness & Aurora Birth Center...Payment and/or copayment is due at the time of service. If copayment is not received at the time of service. a $10.00 tèe
Page 2: Willow Women & Children's Wellness & Aurora Birth Center...Payment and/or copayment is due at the time of service. If copayment is not received at the time of service. a $10.00 tèe
Page 3: Willow Women & Children's Wellness & Aurora Birth Center...Payment and/or copayment is due at the time of service. If copayment is not received at the time of service. a $10.00 tèe
Page 4: Willow Women & Children's Wellness & Aurora Birth Center...Payment and/or copayment is due at the time of service. If copayment is not received at the time of service. a $10.00 tèe
Page 5: Willow Women & Children's Wellness & Aurora Birth Center...Payment and/or copayment is due at the time of service. If copayment is not received at the time of service. a $10.00 tèe
Page 6: Willow Women & Children's Wellness & Aurora Birth Center...Payment and/or copayment is due at the time of service. If copayment is not received at the time of service. a $10.00 tèe
Page 7: Willow Women & Children's Wellness & Aurora Birth Center...Payment and/or copayment is due at the time of service. If copayment is not received at the time of service. a $10.00 tèe
Page 8: Willow Women & Children's Wellness & Aurora Birth Center...Payment and/or copayment is due at the time of service. If copayment is not received at the time of service. a $10.00 tèe
Page 9: Willow Women & Children's Wellness & Aurora Birth Center...Payment and/or copayment is due at the time of service. If copayment is not received at the time of service. a $10.00 tèe