Conditions of Admission Form
These words/terms are located in the Conditions of Admission form
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ACKNOWLEDGES
ASSIGNSSUCHBENEFIT
DIFFICULTYFINANCING
DISCLOSEINFORMATION
FINANCIALAGREEMENT
FINANCIALAGREEMENT
FINANCIALASSISTANCE
HEREBYASSIGN
HOSPITALBILL
MEDICALRECORDS
NOASSURANCE
NOTCOVERED
PATIENTSPERMIT
PAYABLEDIRECTLY
PERSONALVALUABLES
PERSONALVALUABLES
PLACEMENTINSAFE
RELEASEINFORMATION
REQUESTFORPAYMENT
REQUESTFORPAYMENT
RESPONSIBLEPARTY
SELFADMINISTERED
SEPARATEBILLS
SHALLNOTBELIABLE
UNDERSIGNEDAGREES
VALUABLES
| A | S | S | I | G | N | S | S | U | C | H | B | E | N | E | F | I | T | F | N |
| D | F | S | E | L | F | A | D | M | I | N | I | S | T | E | R | E | D | O | T |
| I | D | I | S | C | L | O | S | E | I | N | F | O | R | M | A | T | I | O | N |
| F | U | Y | N | P | A | Y | A | B | L | E | D | I | R | E | C | T | L | Y | E |
| F | N | X | T | A | E | S | L | L | I | B | E | T | A | R | A | P | E | S | M |
| I | D | A | C | K | N | O | W | L | E | D | G | E | S | M | O | E | Z | F | E |
| C | E | M | E | D | I | C | A | L | R | E | C | O | R | D | S | M | A | B | E |
| U | R | Y | T | Y | J | B | I | N | O | T | C | O | V | E | R | E | D | X | R |
| L | S | V | F | K | L | N | J | A | A | A | F | C | I | A | Y | M | Y | F | G |
| T | I | X | O | B | O | L | B | T | L | N | Z | O | F | F | F | F | X | N | A |
| Y | G | C | K | E | Q | K | W | O | I | A | Q | K | I | J | C | V | X | A | L |
| F | N | Z | O | P | A | T | I | E | N | T | S | P | E | R | M | I | T | B | A |
| I | E | C | N | A | R | U | S | S | A | O | N | S | W | C | Y | W | T | E | I |
| N | D | W | E | P | L | A | C | E | M | E | N | T | I | N | S | A | F | E | C |
| A | A | V | I | Z | E | A | H | E | R | E | B | Y | A | S | S | I | G | N | N |
| N | G | G | L | L | I | B | L | A | T | I | P | S | O | H | T | L | X | W | A |
| C | R | D | E | L | B | A | I | L | E | B | T | O | N | L | L | A | H | S | N |
| I | E | R | E | Q | U | E | S | T | F | O | R | P | A | Y | M | E | N | T | I |
| N | E | Y | T | R | A | P | E | L | B | I | S | N | O | P | S | E | R | C | F |
| G | S | E | L | B | A | U | L | A | V | L | A | N | O | S | R | E | P | F | E |
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