This is an agreement between Shayegan Shamsaie, D.D.S., as creditor, and the Patient/Debtor named on this form.
This document is hosted externally.
Unless the owner has removed it from the web, you can access the full document via its original URL:
http://www.shamsaiedds.com/sites/shayeganshamsaie/docs/Financial_Policy.pdfUnless the owner has removed it from the web, you can access the full document via its original URL:
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