james j. dalla riva, m.d., facog thomas m. hulsen, …...james j. dalla riva, md, facog thomas m....

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JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, M.D., FACOG BRYSON T. WHALEN, M.D. OBSTETRICS AND GYNECOLOGY 6812 STATE ROUTE 162, SUITE 301 MARVILLE, IL 62062 PHONE: 618.288.5699 FAX: 618.288.5797

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Page 1: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the

JAMES J. DALLA RIVA, M.D., FACOG

THOMAS M. HULSEN, M.D., FACOG

BRYSON T. WHALEN, M.D.

OBSTETRICS AND GYNECOLOGY

6812 STATE ROUTE 162, SUITE 301

MARVILLE, IL 62062

PHONE: 618.288.5699 FAX: 618.288.5797

Page 2: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the

JAMES J. DALLA RIVA, M.D., FACOG

THOMAS M. HULSEN, M.D., FACOG

BRYSON T. WHALEN, M.D.

OBSTETRICS AND GYNECOLOGY

6812 STATE ROUTE 162, SUITE 301

MARVILLE, IL 62062

PHONE: 618.288.5699 FAX: 618.288.5797

Page 3: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the
Page 4: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the

JAMES J. DALLA RIVA, M.D., FACOG

THOMAS M. HULSEN, M.D., FACOG

BRYSON T. WHALEN, M.D.

OBSTETRICS AND GYNECOLOGY

6812 STATE ROUTE 162, SUITE 301

MARVILLE, IL 62062

PHONE: 618.288.5699 FAX: 618.288.5797

Page 5: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the

JAMES J. DALLA RIVA, M.D., FACOG

THOMAS M. HULSEN, M.D., FACOG

BRYSON T. WHALEN, M.D.

Page 6: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the

JAMES J. DALLA RIVA, M.D., FACOG

THOMAS M. HULSEN, M.D., FACOG

BRYSON T. WHALEN, M.D.

Page 7: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the

JAMES J. DALLA RIVA, M.D., FACOG

THOMAS M. HULSEN, M.D., FACOG

BRYSON T. WHALEN, M.D.

Page 8: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the
Page 9: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the
Page 10: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the
Page 11: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the
Page 12: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the

JAMES J. DALLA RIVA, M.D., FACOG

THOMAS M. HULSEN, M.D., FACOG

BRYSON T. WHALEN, M.D.

Page 13: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the
Page 14: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the

JAMES J. DALLA RIVA, M.D., FACOG

THOMAS M. HULSEN, M.D., FACOG

BRYSON T. WHALEN, M.D.

OBSTETRICS AND GYNECOLOGY

PHONE: 618.288.5699 FAX: 618.288.5797

Page 15: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the

The Juliet Laser

For more information on The Juliet; please see the “Juliet” tab,

located under “Procedures” on our website.

www.DallaRivaandHulsen.com

Page 16: JAMES J. DALLA RIVA, M.D., FACOG THOMAS M. HULSEN, …...JAMES J. DALLA RIVA, MD, FACOG THOMAS M. HULSEN, MD, FACOG FINANCIAL POLICY (Please read and sign where indicated) and I, the

The