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Assignment of Benefits

I understand that I am responsible for payment in full of all charges. I authorize payment of benefits from my insurance be paid directly to High Country Ear, Nose & Throat Associates. I also authorize High Country Ear, Nose, & Throat Associates to release to my insurance company any and all information necessary for the processing of insurance claims.


High Country Ear, Nose and Throat, PC.

Any information provided on this Web site should not be considered medical advice or a substitute for a consultation with a physician. If you have a medical problem, contact your local physician for diagnosis and treatment.