IMPORTANT DISCLOSURE- PLEASE READ
Qualify? Ready to book an appointment? Please make sure you have sent in copies of your medical records which document and/or diagnose your qualifying condition. Please note that if you book and pay for an appointment and we have not received medical records 2 (two)hours in advance of your scheduled appointment, you will not be seen and a refund will be issued , less credit card processing fees.
Medical records can be sent via
Fax to 888.291.6290 or
emailed to: firstname.lastname@example.org
Please make sure you provide contact information if sending via fax, so that we can confirm receipt.
*For Current Premier Chronic Pain Care Visits
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