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Get and Sign NEW PATIENT AGREEMENT and CONSENT to INDIVIDUAL TREATMENT PLAN Form
Provider deems treatment complete. 3. Other consultations- The patient may also be interested in alternative therapies such as acupuncture. These therapies may not be covered by insurance. The provider will make recommendations and referrals to licensed acupuncturists however the handling of paym ent and insurance will be strictly between the patient and the acupuncturist. Failure to follow alternative therapy recom mendations does not constitute a breach of compliance by the patient....
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