integrativewellnesspt

Use your body better! ®

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Forms

Consent to Treat
All patients complete
Informed Consent and Other Acknowledgments-incl telehealth

HIPAA
All patients complete
HIPAA- NOTICE OF PATIENT INFORMATION PRACTICE

New Patient Intake Form
All patients complete
Intake Form–2020

New Patient Insurance Claim Form
BlueCross-BlueShield subscribers complete
insurance-and-release-Insurance and Release Form-2020

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