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Pentz Health Services LLC dba Nevy Health

Pentz Health Services LLC dba Nevy Health 2025

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The document is a New Patient Intake Form for Pentz Health Services LLC, operating as Nevy Health. It collects essential patient information including personal details, medical history, insurance information, and reasons for the visit. The form also includes sections for emergency contacts, incident information related to accidents, and consent for treatment. Additionally, it outlines financial policies regarding payments and missed appointments.

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