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Notice of Insurance

Please be advised if you are using insurance coverage for your visit, this is a contract between you and your insurance company...not  Eric M. White OD, Inc. Please read this Notice of Insurance to be sure you understand.

I hereby authorized my insurance benefits to be paid directly to Eric M White, OD Inc. I authorize the use of this signature on all insurance submission. I grant permission to contact my physician and/or school to assist in my care.