release of any medical Or other information necessary to process insurance clams on my tehm • FINANCIAL LIABILITY: I have been provided a copy of the NYU School of Medicine financia policies and agree to the specified terms. I hereby agree to pay an charges due (cc to become due) to NYU School of Meicine for care and t

ease of any medical or other information necessary to process insurance claims on my behalf. • FINANCIAL LIABILITY: I have been provided a copy of the NYU School of Medicine financial policies and agree to the specified terms. I hereby agree to pay all charges due (or to become due) to NYU School of Medicine for care and