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2. You are requesting an appointment through Los Angeles Integrative Gastroenterology & Nutrition, Inc.I acknowledge
3. Were you referred by a healthcare provider?YesNo
If yes, who referred you?
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7. What type of insurance do you plan to use for our services?PPONo Insurance
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If we could accommodate an appointment in the early morning, after hours, or on saturday, are you willing to pay an extra $100?YesNo
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