Please provide the email address of any doctor who would like to be sent follow‐up information.
If you have multiple office locations, please list and describe the method by which they are connected (DSL, cable modem, T1 line, etc.) and speed of that connection (1 MG upload / 4 MG download). Start with the Main office.
List positions including Office Manager, Treatment Coordinator, Scheduling Coordinator, Insurance Coordinator, and Financial Coordinator.
- Do you use a bookkeeper or an accounting firm for the following services?
List clinical positions including Clinical Coordinator, Clinical Assistant/RDA, Lab Technician, and Records Technician.
HARDWARE / TECHNOLOGY
*Please send current fee sheet
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