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By filling out this form:
- Doctor(s) agrees to comply with any codes submitted on their behalf and indemnify and hold ClinicAid harmless against and in respect of any loss, damage, claim, cost, or expense arising in connection to their billing practices.
- Doctor(s) agrees to allow ClinicAid to delegate activities to ClinicAid’s parent company WELL Health Inc and its subsidiaries.
- Doctor(s) agrees to an increase of $75/month per physician.
Upon completing this form, you will receive an email confirmation and the ClinicAid team will get started!