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For
Patients
Welcome
to the CPainMC. The following information will help you navigate
and get the most out of your appointments.
New Patient Instructions
Please remember to bring all forms completed and signed to your
first appointment. Please review all documents under "Relevant
Information for Patients" prior to your appointment. If you
need to cancel an appointment, we require a 24 hour notice.
Please bring the following items with you to your appointment:
1. All insurance information (including worker’s comp
info).
2. Your authorization if you have an HMO insurance plan.
3. Any X-Rays, MRIs, or CT scan reports and films.
4. Latest progress notes from your referring physician.
5. Any other relevant information. |
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QME/AME
appointment
NP questionnaire
QME
forms
Relevant
Information for Patients
Notice
of Privacy Practices
Consent for
Services
HIPPA for Patients
Patients
Rules & Regulations
Bill of rights
Relevant
Information for Procedures
Patient
Pre-Procedure Medication / Instruction Sheet
Preparing for the day
of your procedure
Billing
and insurance info
Pro-Med
Billing
PO Box 321086
Los Gatos, CA 95032
Ph: 408-370-9080
Fx: 408-370-9099
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