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.
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This Medical Form is available in two versions: a free, ready-to-use version and a $3.99 editable version.
The free version is available in PDF format: just download one, open it in a can display the PDF file format, and print.
The $3.99 version can be edited. It is compatible with Microsoft Word.
The editable version can be customized. You can pay using your PayPal account or credit card. You'll be able to download the customizable medical form within moments.