of providing me with appropriate medical are. adjudicating medical bills for health care services provided to me wftik in the custody of the caked Orignial-fn sone, File Copy to Din nct t tic Copy Cpon transfer le I OW olt2 I • Vo Atunutol 01411 EFTA00108504 Mod AO 442 (09/13) Anes1 Warned AUSA Name &