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Lien Referral Form (Las Vegas)

Best Care by the Best Doctors!

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PATIENT INFORMATION

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EVALUATE AND TREAT

NEW PATIENT LIEN CONSULTATION (SCHEDULED WITHIN 48 HOURS)

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PERSONAL INJURY REPORTS

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FOR LIEN REFERRALS

ALL RECORDS, BILLINGS, AND NOTES WILL BE SENT WITHIN 24 HOURS AFTER VISIT

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More Than Doctors, Your Medical- Legal Advocates in Healing!

4930 Governors Dr, Forest Park, GA 30297, USA

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