This past due medical statement is perfect for patients who are delinquent in their payments. Spaces are provided to indicate how far overdue the bill is, as well as the itemized account of the transaction.
This Printable Medical Form belongs to these categories: forms
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This Medical Form is available in two versions: a ready-to-use PDF version and an editable DOC version.
To use the PDF version: just download one, open it in program that can display the PDF file format, and print.
The DOC version can be edited in Microsoft Word or other word processor that can open DOC files.
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