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MVA- Information Sheet.doc

MVA- Information Sheet.doc 2025

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The document is a client information form for MVA (Motor Vehicle Accident) that collects details regarding auto insurance, including the insurance company, adjuster's contact information, policy number, date of loss, and claim number. It also gathers extended health insurance information for both the client and their spouse, detailing coverage for physiotherapy and massage therapy, along with referral requirements.

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