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You pay for the Nurse or secretary who is on the payroll to take the time (time is money) to go to the printer/copier (most likely a 5,000.00 version) Print however many copies using their paper and toner/ink put into a folder that they paid for and then hand it to you..
Gotta give a little here ripper.
The cost of the time, paper, toner, use of copier is factored in. Not just another way to make you pay...
The Original was most likely Faxed to you doc so there is more equipment he is paying for for you to get your copy..
What is he charging you for your copy?
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