Non-Medicare Patients - I hereby assign to WOMEN FOR WOMEN OBSTETRICS AND GYNECOLOGY any and all benefits from my insurance plan or any other protection maintained by the patient and/or on the Patient's behalf or benefit, and authorize and direct such benefits to be paid directly to WOMEN FOR WOMEN OBSTETRICS AND GYNECOLOGY or Marci Ostroff, M.D., Christine Duncan, M.D., Marni Sanders, M.D ....