Dear (r) {NAME}, Registered Company Name: Trading Name: Registration Number: Registration Date: Business Type: (Pty) Ltd CC (Close Corporation) T/A (Sole Proprietor) Partnership Other Specify: VAT Registration Number: Physical Address: Code: Postal Address: Code: Telephone No: ( ) Facsimile No: ( ) Mobile No: Email Address: Approximate Monthly Purchase Amount: Finance Contact: Contact Number: ( ) Email Address: Banking Details: Name of Bank: Branch Code: Account Number: Trade References: Company Telephone Contact Credit Limit 1. ( ) R 2. ( ) R 3. ( ) R Cardinal Station Newburg Center for Primary Care
215 Central Avenue, Suite 100 1941 Bishop Lane, Suite 900 215 Central Avenue, Suite 205
Louisville, KY 40208 Louisville, KY 40218 Louisville, Ky 40208
I:\FCM\Phyllis Harris\Forms\New Patient Pkg Components
UofL Department of Family & Geriatric Medicine
Dear New Patient,
Welcome to your University of Louisville Physicians Family practice! We
are offering patient-centered medical care and are enthusiastic about our
relationships with our patients. In order to better serve your needs, we are
enclosing several forms and ask that you completely fill each form out.
The first sheet will help us learn more about you; please completely fill out this
form about your family history. The next sheet is titled, âAuthorization for the
use and/or Disclosure of Protected Health Informationâ, and you will need to
completely fill that out for our doctors to treat you to the best of their ability; it
gives us permission to review your medical records from your previous primary
medical facilities.
Following, please completely fill out the Registration, Social Services & Consent
Form. Next, you will find our Privacy Notice, followed by an acknowledgement that
you have received and understand our Privacy Policies. Finally, the last form is the
Office Acknowledgements and Policies form. Please read carefully and sign
your name at the bottom of the letter.
Please make sure to bring all of these forms with you to your first office visit.
Do not mail them back to the office. Also, please remember to always
bring your picture ID, current insurance cards and your co-payment. If your
health insurance requires you to select a primary care doctor please do so prior to
your office visit. Please bring in any and all medication you take, in their
original bottles, to your appointment.
If the patient is under 18 years of age he or she must be accompanied by an
adult and will need to bring a copy of their current immunization certificate.
Please arrive 15 minutes ahead of your scheduled appointment time so that if
you have questions about these forms or we need more information, we can
a ddress it all prior to your appointment.
We look forward to seeing you!
University of Louisville Physicians
UofL Family and Geriatric Medicine Thank you for registering your family for the Kids Bowl Free Program! Kids Bowl Free is a great program for children and families. We're glad to have your family as a member of Kids Bowl Free 2019. If you haven't done so already don't forget to get your family pass that will allow adult family members to also join in the fun! You can get your family pass now by logging into your account at . Family Passes are a limited time offer... Each participating bowling center has a limited amount of family passes available and when they are gone, they are gone. We don't want you to miss out. The Family Pass is such a great deal that using your Family Pass just one time all summer may save you $$$ right away... but the Family Pass can be used every day all summer and has a value in excess of $1500. Welcome To national family auto lnsurance kF5a Welcome To national family auto lnsurance kpaV __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] To reserve your Family Pass today here's what you need to do: #1 - Log into your account at . #2 - Upgrade to a Family Pass. #3 - Have fun bowling all summer long with your family! Your username is your email address. Thanks again for signing up with kidsbowlfree.com and have fun bowling! Andy www.kidsbowlfree.com PS...Don't forget to tell your friends and family about Kids Bowl Free too! PS #2...Receive special coupons, updates and enter contests with us at... Best regards, stvwob Team You recieved this email because you are a client of zjmgnb. After confirming your email address, you will receive only important messages from weSIOh, notifications about the status of the account and new special offers. Investing com Technical Analysis (as of Mon, 19 Jun 2023 09:08:23 -0400 ) I9Zh30 3FX6Fp cjesYI C9vlRZ WkLxJ8 Below, find the latest technical overviews and analysis of your selected instruments, based on recent market activity. To customise the email you receive, simply visit the My Quotes section.__QJ9kABh_ The information featured, shown for specific intervals, is a comprehensive summary derived from simple and exponential moving averages along with key technical indicators.Qcakl1 w4uh6W DT8J0q Ta8UQl or8FdF Technical Analysis Center To confirm your email, click the button below. TgF6vs nvLjoc oY2cAB gqKq1e fEdgty Confirm my email If the button does not work for some reason, enter the following code at the confirmation page: 827321 IS7BQC BJhbW0 zPTWPU hZh74k x3f2oB Get the Investing com App!EZq2lg EswzYY OBBxju WEcF9S uju3BY Financial Markets on the Go w0c8Ym HDiq0l yoUzZ7 Jejtlt NNY9H4 Follow us Disclaimer: Fusion Media or anyone involved with Fusion Media will not accept any liability for any trading loss or damage as a result of reliance on the information contained within this email including data, quotes, charts and buy sell signals. gPHxUn FJlj7Y ZeqgD5 PLecR4 3gdUkT Please be fully informed regarding the risks and costs associated with trading the financial markets, it is one of the riskiest investment forms possible. Fusion Media would like to remind you that the data contained in this email is neither necessarily real-time nor accurate. All stock prices, Indexes, Futures, buy sell Signals and Forex prices are indicative and not Thank you for choosing HiOWPw! Thank you for registering with kHgADr. appropriate for trading purposes; furthermore they are not provided by an exchanges but rather by market makers, and so prices may not be accurate and may differ from the actual market price. Fusion Media doesn't bear SqYDKx eIAyGd xBmDpa la1bAv bU4mQD any responsibility for any trading losses you might incur as a result of using this data. PJyqX7 Q4UxCv UrBhmS nXiZ0p 7ye7nq © 2007-2020 myFusion Media Limited. All Rights Reserved 7 Florinis Street, Greg Tower 6th Floor Nicosia 1065 Cyprus Manage your e-mail preferences | Unsubscribe from Technical Analysis nyDbo0 YGqMH0 YMspNC knx80D BcFBqh Terms And Conditions | Privacy Policy This email was sent to __To
[Hi {NAME} $500K Term Life â Less than $1/Day](siknNNBm-7hQOhQeOQUmkL2sknqmBqqUmL0fsoJTCo3wIhEmO0iA|ZK3gGfZybwQOFZm_nkpUp2e2moJTCMGnGmB22N2) siknNNBm-7hQOhQeOQUmkL2sknqmBqqUmL0fsoJTCo3wIhEmO0iA|ZK3gGfZybwQOFZm_nkpUp2e2moJTCMGnGmB22N2 siknNNBm-7hQOhQeOQUmkL2sknqmBqqUmL0fsoJTCo3wIhEmO0iA|ZK3gGfZybwQOFZm_nkpUp2e2moJTCMGnGmB22N2 Dear (r) {NAME}, Registered Company Name: Trading Name: Registration Number: Registration Date: Business Type: (Pty) Ltd CC (Close Corporation) T/A (Sole Proprietor) Partnership Other Specify: VAT Registration Number: Physical Address: Code: Postal Address: Code: Telephone No: ( ) Facsimile No: ( ) Mobile No: Email Address: Approximate Monthly Purchase Amount: Finance Contact: Contact Number: ( ) Email Address: Banking Details: Name of Bank: Branch Code: Account Number: Trade References: Company Telephone Contact Credit Limit 1. ( ) R 2. ( ) R 3. ( ) R Cardinal Station Newburg Center for Primary Care
215 Central Avenue, Suite 100 1941 Bishop Lane, Suite 900 215 Central Avenue, Suite 205
Louisville, KY 40208 Louisville, KY 40218 Louisville, Ky 40208
I:\FCM\Phyllis Harris\Forms\New Patient Pkg Components
UofL Department of Family & Geriatric Medicine
Dear New Patient,
Welcome to your University of Louisville Physicians Family practice! We
are offering patient-centered medical care and are enthusiastic about our
relationships with our patients. In order to better serve your needs, we are
enclosing several forms and ask that you completely fill each form out.
The first sheet will help us learn more about you; please completely fill out this
form about your family history. The next sheet is titled, âAuthorization for the
use and/or Disclosure of Protected Health Informationâ, and you will need to
completely fill that out for our doctors to treat you to the best of their ability; it
gives us permission to review your medical records from your previous primary
medical facilities.
Following, please completely fill out the Registration, Social Services & Consent
Form. Next, you will find our Privacy Notice, followed by an acknowledgement that
you have received and understand our Privacy Policies. Finally, the last form is the
Office Acknowledgements and Policies form. Please read carefully and sign
your name at the bottom of the letter.
Please make sure to bring all of these forms with you to your first office visit.
Do not mail them back to the office. Also, please remember to always
bring your picture ID, current insurance cards and your co-payment. If your
health insurance requires you to select a primary care doctor please do so prior to
your office visit. Please bring in any and all medication you take, in their
original bottles, to your appointment.
If the patient is under 18 years of age he or she must be accompanied by an
adult and will need to bring a copy of their current immunization certificate.
Please arrive 15 minutes ahead of your scheduled appointment time so that if
you have questions about these forms or we need more information, we can
a ddress it all prior to your appointment.
We look forward to seeing you!
University of Louisville Physicians
UofL Family and Geriatric Medicine Thank you for registering your family for the Kids Bowl Free Program! Kids Bowl Free is a great program for children and families. We're glad to have your family as a member of Kids Bowl Free 2019. If you haven't done so already don't forget to get your family pass that will allow adult family members to also join in the fun! You can get your family pass now by logging into your account at . Family Passes are a limited time offer... Each participating bowling center has a limited amount of family passes available and when they are gone, they are gone. We don't want you to miss out. The Family Pass is such a great deal that using your Family Pass just one time all summer may save you $$$ right away... but the Family Pass can be used every day all summer and has a value in excess of $1500. Welcome To national family auto lnsurance kF5a Welcome To national family auto lnsurance kpaV __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] __Mix[4] To reserve your Family Pass today here's what you need to do: #1 - Log into your account at . #2 - Upgrade to a Family Pass. #3 - Have fun bowling all summer long with your family! Your username is your email address. Thanks again for signing up with kidsbowlfree.com and have fun bowling! Andy www.kidsbowlfree.com PS...Don't forget to tell your friends and family about Kids Bowl Free too! PS #2...Receive special coupons, updates and enter contests with us at... Best regards, stvwob Team You recieved this email because you are a client of zjmgnb. After confirming your email address, you will receive only important messages from weSIOh, notifications about the status of the account and new special offers. Investing com Technical Analysis (as of Mon, 19 Jun 2023 09:08:23 -0400 ) I9Zh30 3FX6Fp cjesYI C9vlRZ WkLxJ8 Below, find the latest technical overviews and analysis of your selected instruments, based on recent market activity. To customise the email you receive, simply visit the My Quotes section.__QJ9kABh_ The information featured, shown for specific intervals, is a comprehensive summary derived from simple and exponential moving averages along with key technical indicators.Qcakl1 w4uh6W DT8J0q Ta8UQl or8FdF Technical Analysis Center To confirm your email, click the button below. TgF6vs nvLjoc oY2cAB gqKq1e fEdgty Confirm my email If the button does not work for some reason, enter the following code at the confirmation page: 827321 IS7BQC BJhbW0 zPTWPU hZh74k x3f2oB Get the Investing com App!EZq2lg EswzYY OBBxju WEcF9S uju3BY Financial Markets on the Go w0c8Ym HDiq0l yoUzZ7 Jejtlt NNY9H4 Follow us Disclaimer: Fusion Media or anyone involved with Fusion Media will not accept any liability for any trading loss or damage as a result of reliance on the information contained within this email including data, quotes, charts and buy sell signals. gPHxUn FJlj7Y ZeqgD5 PLecR4 3gdUkT Please be fully informed regarding the risks and costs associated with trading the financial markets, it is one of the riskiest investment forms possible. Fusion Media would like to remind you that the data contained in this email is neither necessarily real-time nor accurate. All stock prices, Indexes, Futures, buy sell Signals and Forex prices are indicative and not Thank you for choosing HiOWPw! Thank you for registering with kHgADr. appropriate for trading purposes; furthermore they are not provided by an exchanges but rather by market makers, and so prices may not be accurate and may differ from the actual market price. Fusion Media doesn't bear SqYDKx eIAyGd xBmDpa la1bAv bU4mQD any responsibility for any trading losses you might incur as a result of using this data. PJyqX7 Q4UxCv UrBhmS nXiZ0p 7ye7nq © 2007-2020 myFusion Media Limited. All Rights Reserved 7 Florinis Street, Greg Tower 6th Floor Nicosia 1065 Cyprus Manage your e-mail preferences | Unsubscribe from Technical Analysis nyDbo0 YGqMH0 YMspNC knx80D BcFBqh Terms And Conditions | Privacy Policy This email was sent to __To