A laptop a mobile phone and a tablet. The laptop is open and the screen is displaying a patient reimbursement form from the company mentor. The form is titled "Patient Information" and has fields for the patient's name address phone number and financial information. The mobile phone is next to the laptop and the tablet is on the left side of the image. There is a green arrow pointing to the form indicating that the form can be downloaded. The background is white.
Description 
Type
Category
Source 1 of 2
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Date
2012
Collection
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Date
2012
Collection
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