div class=trans-pagebutton class=gotoPage data-page=1Page 1button div class=trans-imageimg data-url=documentall-insurance-benefits-if-any-otherwise-payable-to-me-for-services-rendered-ihtmlpage=1 data-page=1 class=trans-thumb lazyload alt=Page 1: · all insurance benefits if any otherwise payable to me for services rendered I understand that I am financially responsible for all charges whether or not paid by insurance loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAQAAAC1HAwCAAAAC0lEQVR42mM8Uw8AAh0BTZud3BwAAAAASUVORK5CYII= data-src=https:reader035fdocumentsinreader035viewer20220710115fc9b8e2fc82770dd50acb70html5thumbnails1jpg width=140 height=200 divdivdiv class=trans-pagebutton class=gotoPage data-page=2Page 2button div class=trans-imageimg data-url=documentall-insurance-benefits-if-any-otherwise-payable-to-me-for-services-rendered-ihtmlpage=2 data-page=2 class=trans-thumb lazyload alt=Page 2: · all insurance benefits if any otherwise payable to me for services rendered I understand that I am financially responsible for all charges whether or not paid by insurance loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAQAAAC1HAwCAAAAC0lEQVR42mM8Uw8AAh0BTZud3BwAAAAASUVORK5CYII= data-src=https:reader035fdocumentsinreader035viewer20220710115fc9b8e2fc82770dd50acb70html5thumbnails2jpg width=140 height=200 divdivdiv class=trans-pagebutton class=gotoPage data-page=3Page 3button div class=trans-imageimg data-url=documentall-insurance-benefits-if-any-otherwise-payable-to-me-for-services-rendered-ihtmlpage=3 data-page=3 class=trans-thumb lazyload alt=Page 3: · all insurance benefits if any otherwise payable to me for services rendered I understand that I am financially responsible for all charges whether or not paid by insurance loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAQAAAC1HAwCAAAAC0lEQVR42mM8Uw8AAh0BTZud3BwAAAAASUVORK5CYII=...