Information needed to setup an evaluation:

• A script signed by the Referring Doctor indicating what services are needed
• Doctor’s Name, Address, Phone and Fax Numbers
• Patient Name, Address, Phone Number, Date of Birth and Social Security Number (any other contact Info.)
• Patient Insurance Information (include policy number, phone number, who is primary on insurance and their Social Security Number and Date of Birth)
• Call to schedule an evaluation and have the above information available
• Arrive 15 minutes prior to scheduled appointment
  

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