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Legal Intake Sheet. 

Please provide this along with corresponding documents.

Authorization

(Guidelines for documents needed to schedule with worker's comp insurance)

Authorization needed for an Endoscopy and Colonoscopy

Authorization needed for an Endoscopy 

Authorization needed for Colonoscopy

Graham Woolf, MD    l    8631 W 3rd St. Ste 1015E    l    Los Angeles, CA 90048    l    Phone 310-652-4472    l    Fax 310-358-2266

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