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New Patients |
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Before scheduling your initial evaluation, our highly
skilled billing staff will verify your insurance benefits. We will then call
you to confirm your benefit status and set up your first appointment. |
PLEASE CLICK ON EACH FORM TO VIEW AND PRINT, COMPLETE AND RETURN VIA FAX TO 201-541-1711
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***These forms require Adobe Reader to view and print. If necessary, click the Adobe
logo to download a free copy of this application.***
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If you have further questions, you can reach us at 201-541-7715 or by email:
billing@palisadesrehab.com . |
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