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Patient Manual >
Paperwork |
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Our Responsibility |
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| Because we
as specialists are often in a unique position to comment about
your illness when it pertains to issues such as work
disability, limitations, or provision of items necessary for
your care that insurance companies may be denying, our doctors
are willing to fill out any necessary paperwork that may be
involved or dictate letters as necessary. These forms should
be ready for you to pick up one week after they are dropped
off. When
copies of records are required for other doctors' offices,
attorneys, or disability evaluations, our office will copy
these records for you and make them available for whoever is
requesting them within 7 to 10 days. |
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Your
Responsibility |
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The demands of our schedule limit the time we
have available for filling out paperwork. It is appreciated if
the volume and frequency of these forms can be kept to a
minimum level needed for the agency requesting information.
Because we consider our time and services to be of some value,
we will be assessing a charge of $10 per page for forms, $25
for medical source statement letters, and $75 for a dictated
physician statement to cover our costs. Additionally, we will
assess a charge of $15 for copies of records, or 30 cents per
page after 10 pages of copied material. |
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Scheduling |
Prescriptions |
Referrals |
Phone Calls |
Conclusion |

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