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Vision Screening Form
Bring these forms with you when you go to health fairs and other events...
$15.00
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Advanced Beneficiary Notice for Commercial Insurance
New
A commercial ABN allows your practice to be sure the patient is aware of possible out-of-pocket charges before services are rendered for non-Medicare patients.
Data sheet
| Pages | 1 |
| Customizable | Yes |
More info
This form explains the estimated cost of the services planned and the reason for possible denial or out-of-pocket expense. It allows you to be sure that the patient is aware before services are rendered and gives the patient the option of continuing with the service or denying service at this time.
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Seller Info/Map
Donelson EyeCare
|
Address: 524 Donelson Pike Nashville, Tennessee 37214 United States Phone: 615 889-0147 |