div class=ts-pagebutton class=gotoPage data-page=1Page 1button div class=ts-imageimg data-url=facesheet-2018-obgyn-financial-agreement-authorization-for-treatment-hipaahtmlpage=1 data-page=1 class=ts-thumb lazyload alt=Page 1: Facesheet 2018 - OBGYN Alaska€¦ · Financial Agreement Authorization for Treatment HIPAA Notice I authorize treatment of the person named above and agree to full responsibility loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader035vdocumentssitereader035viewer20220626045fba78b99c134510785fe02dhtml5thumbnails1jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=2Page 2button div class=ts-imageimg data-url=facesheet-2018-obgyn-financial-agreement-authorization-for-treatment-hipaahtmlpage=2 data-page=2 class=ts-thumb lazyload alt=Page 2: Facesheet 2018 - OBGYN Alaska€¦ · Financial Agreement Authorization for Treatment HIPAA Notice I authorize treatment of the person named above and agree to full responsibility loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader035vdocumentssitereader035viewer20220626045fba78b99c134510785fe02dhtml5thumbnails2jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=3Page 3button div class=ts-imageimg data-url=facesheet-2018-obgyn-financial-agreement-authorization-for-treatment-hipaahtmlpage=3 data-page=3 class=ts-thumb lazyload alt=Page 3: Facesheet 2018 - OBGYN Alaska€¦ · Financial Agreement Authorization for Treatment HIPAA Notice I authorize treatment of the person named above and agree to full responsibility loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader035vdocumentssitereader035viewer20220626045fba78b99c134510785fe02dhtml5thumbnails3jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=4Page 4button div class=ts-imageimg data-url=facesheet-2018-obgyn-financial-agreement-authorization-for-treatment-hipaahtmlpage=4 data-page=4 class=ts-thumb lazyload alt=Page 4: Facesheet 2018 - OBGYN Alaska€¦ · Financial Agreement Authorization for Treatment HIPAA Notice I authorize treatment of the person named above and agree to full responsibility loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader035vdocumentssitereader035viewer20220626045fba78b99c134510785fe02dhtml5thumbnails4jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=5Page 5button div class=ts-imageimg data-url=facesheet-2018-obgyn-financial-agreement-authorization-for-treatment-hipaahtmlpage=5 data-page=5 class=ts-thumb lazyload alt=Page 5: Facesheet 2018 - OBGYN Alaska€¦ · Financial Agreement Authorization for Treatment HIPAA Notice I authorize treatment of the person named above and agree to full responsibility loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader035vdocumentssitereader035viewer20220626045fba78b99c134510785fe02dhtml5thumbnails5jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=6Page 6button div class=ts-imageimg data-url=facesheet-2018-obgyn-financial-agreement-authorization-for-treatment-hipaahtmlpage=6 data-page=6 class=ts-thumb lazyload alt=Page 6: Facesheet 2018 - OBGYN Alaska€¦ · Financial Agreement Authorization for Treatment HIPAA Notice I authorize treatment of the person named above and agree to full responsibility loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader035vdocumentssitereader035viewer20220626045fba78b99c134510785fe02dhtml5thumbnails6jpg width=140 height=200 divdivdiv class=ts-pagebutton class=gotoPage data-page=7Page 7button div class=ts-imageimg data-url=facesheet-2018-obgyn-financial-agreement-authorization-for-treatment-hipaahtmlpage=7 data-page=7 class=ts-thumb lazyload alt=Page 7: Facesheet 2018 - OBGYN Alaska€¦ · Financial Agreement Authorization for Treatment HIPAA Notice I authorize treatment of the person named above and agree to full responsibility loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader035vdocumentssitereader035viewer20220626045fba78b99c134510785fe02dhtml5thumbnails7jpg width=140 height=200 divdiv
