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If you have any questions, you can call us at (844) 206-7933.
The following documentation may be required:
- Patient’s complete demographics
- Valid referral from referring physician
- Copy of insurance card, both sides
- Authorization, if required
- Recent medical records and labs
- Current list of medications and allergies
- Chart notes from recent inpatient, outpatient, ER, or urgent care visits
- Reports from recent surgeries
- Imaging done in the last year related to relevant diagnosis (all reports and images)
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