I need to have a form recreated with a couple of small changes to the text:
1. Delete the first paragraph on the second page
2. Change the second paragraph to read: I agree that I am financially responsible as indicated in the Financial Responsibility Form and agree to pay all fees and charges related to my treatment unless another party agrees in writing to be financially responsible in my stead. If a party other than myself agrees to be financially responsible for my treatment, my signature below constitutes my consent to release information for the following: a) the fact that I am in treatment with Bright Road Recovery; b) dates and types of service; c) billing and accounting information, including diagnosis for the purposes of providing superbills or other insurance-related purposes; d) billing, accounting and/or superbill information may be exchanged via e-mail with the financially responsible party (unless I indicate I do not wish to have information shared via email).
2a. The "I agree" radio button is a required field--which is to say that it has to be chosen as part of the form in order to continue/sign it/save it.
3. The boxes under the superbill paragraph should be an either/or option, not requiring both boxes to be checked
Hello there,
It is my great honor to apply for this job vacancy. I am very hardworking and can work effectively as fast as I can. I have excellent skills in Graphics Design, Data Entry, Web Research and Microsoft Office and I have enough experience with different kinds of tasks as you can see in my "Work History", most of the time I gave my clients a great resultI can follow instructions very well and will deliver the project on time. It is a pleasure if ever you will message me for an interview. I can work as soon as possible.
Sir,
I am highly experienced graphic designer having 12 plus years of experience, I have read your project description fully and looked at the attached files and very clear with your requirement.
I will help you in making changes according to the instruction.
Ready to start immediately. Trust and try once it will never go waste.
Thank You
Printy