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Information & Patient Services Agreement...SCOTT CABOT WILLIS, PH.D., 7157 SW Beveland Street, Suite 100 Tigard, Oregon 97223-9628 P.C DrScottWillis.com 503-547-9505 [email protected]

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Page 1: Information & Patient Services Agreement...SCOTT CABOT WILLIS, PH.D., 7157 SW Beveland Street, Suite 100 Tigard, Oregon 97223-9628 P.C DrScottWillis.com 503-547-9505 DrScottWilIis@gmail.com

Page 2: Information & Patient Services Agreement...SCOTT CABOT WILLIS, PH.D., 7157 SW Beveland Street, Suite 100 Tigard, Oregon 97223-9628 P.C DrScottWillis.com 503-547-9505 DrScottWilIis@gmail.com

Page 3: Information & Patient Services Agreement...SCOTT CABOT WILLIS, PH.D., 7157 SW Beveland Street, Suite 100 Tigard, Oregon 97223-9628 P.C DrScottWillis.com 503-547-9505 DrScottWilIis@gmail.com

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DRAIN LTD69LongviewCr 458-9778 ACCESS …...VideoForum / Videoconferencing Reservations & Inquiries (Toll-free) 1-800-272-9628 Achtymichuk C 83GrandviewRidgeEsts . 458-5657 Achtymichuk

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