koettingeyecenter.comprovided by the koetting associates. i understand that i am financially...

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Page 1: koettingeyecenter.comprovided by The Koetting Associates. I understand that I am financially responsible for payment of any services rendered to me by The Koetting Associates. I have
Page 2: koettingeyecenter.comprovided by The Koetting Associates. I understand that I am financially responsible for payment of any services rendered to me by The Koetting Associates. I have
Page 3: koettingeyecenter.comprovided by The Koetting Associates. I understand that I am financially responsible for payment of any services rendered to me by The Koetting Associates. I have
Page 4: koettingeyecenter.comprovided by The Koetting Associates. I understand that I am financially responsible for payment of any services rendered to me by The Koetting Associates. I have
Page 5: koettingeyecenter.comprovided by The Koetting Associates. I understand that I am financially responsible for payment of any services rendered to me by The Koetting Associates. I have