Required Online Form — Healthcare Consulting & Licensing

Non-Refundable Work Policy Acknowledgment

I acknowledge that all fees paid for work that has commenced are NON-REFUNDABLE. This includes licensing applications, document preparation, credentialing, and consulting work, regardless of board or third-party outcomes.

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Acknowledgment & Signature

By typing your full legal name below you provide an electronic signature with the same legal effect as a handwritten signature.

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Submissions are delivered to CynthiaDecorteres@PFConsultingFirm.com.