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sa1s3.patientpop.comPROGRESSIVE CARE FOR WOMEN'S PAYMENT POLICY I hereby acknowledge the following payment policy of Progressive Care for Women (PC4W): 1. 2. 3. Payment of copays,

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Page 1: sa1s3.patientpop.comPROGRESSIVE CARE FOR WOMEN'S PAYMENT POLICY I hereby acknowledge the following payment policy of Progressive Care for Women (PC4W): 1. 2. 3. Payment of copays,
Page 2: sa1s3.patientpop.comPROGRESSIVE CARE FOR WOMEN'S PAYMENT POLICY I hereby acknowledge the following payment policy of Progressive Care for Women (PC4W): 1. 2. 3. Payment of copays,
Page 3: sa1s3.patientpop.comPROGRESSIVE CARE FOR WOMEN'S PAYMENT POLICY I hereby acknowledge the following payment policy of Progressive Care for Women (PC4W): 1. 2. 3. Payment of copays,
Page 4: sa1s3.patientpop.comPROGRESSIVE CARE FOR WOMEN'S PAYMENT POLICY I hereby acknowledge the following payment policy of Progressive Care for Women (PC4W): 1. 2. 3. Payment of copays,
Page 5: sa1s3.patientpop.comPROGRESSIVE CARE FOR WOMEN'S PAYMENT POLICY I hereby acknowledge the following payment policy of Progressive Care for Women (PC4W): 1. 2. 3. Payment of copays,
Page 6: sa1s3.patientpop.comPROGRESSIVE CARE FOR WOMEN'S PAYMENT POLICY I hereby acknowledge the following payment policy of Progressive Care for Women (PC4W): 1. 2. 3. Payment of copays,
Page 7: sa1s3.patientpop.comPROGRESSIVE CARE FOR WOMEN'S PAYMENT POLICY I hereby acknowledge the following payment policy of Progressive Care for Women (PC4W): 1. 2. 3. Payment of copays,
Page 8: sa1s3.patientpop.comPROGRESSIVE CARE FOR WOMEN'S PAYMENT POLICY I hereby acknowledge the following payment policy of Progressive Care for Women (PC4W): 1. 2. 3. Payment of copays,
Page 9: sa1s3.patientpop.comPROGRESSIVE CARE FOR WOMEN'S PAYMENT POLICY I hereby acknowledge the following payment policy of Progressive Care for Women (PC4W): 1. 2. 3. Payment of copays,
Page 10: sa1s3.patientpop.comPROGRESSIVE CARE FOR WOMEN'S PAYMENT POLICY I hereby acknowledge the following payment policy of Progressive Care for Women (PC4W): 1. 2. 3. Payment of copays,

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