AOBs, Missed appointments, release of info forms

Published July 8, 2015

Here are some forms that you need your patients to sign. You want full transparency in your office with your patients.



Assignment of Benefits

I hereby assign payment directly to Katz Chiropractic & Rehabilitation Clinic/ Front Range Digital Motion X-Ray, who represents this clinic to Payor Groups for the basic benefits, as well as major medical benefits herein specified and otherwise payable to me, but not to exceed the regular charges for this treatment period.  I understand that if this is a . . .

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