s@tisfy that burning flame

Return one copy of the invoice with this prescription to your physician within 5 calendar days of receipt.
You MUST show and review the UCAR Invoice Number per your pharmacy's request.
Hospital Collection notice. See Attached.
Collection efforts with this Past-Due Account form. Avoid extra charges by returning this form today.
Sign the stamp on the insurance claim marked "Prescription Approved".
Past Due Invoice Attached. Please read contact instructions to avoide late fees.
Received delivery ticket should be attached to each invoice rendered from Doctor's office.

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