Provider
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4 FAQ
4 Become a Provider
4 Provider
Documents
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This section will act as a document repository for all of the documents
that a provider might need. To download the latest version of a document,
just click on it below.
Participating
Provider Application Cover
Supplemental Questionnaire
Participating
Clinician Provider Agreement
W-9
Confidentiality
Statement of Understanding
HIPAA
Fee Schedule
Provider Checklist
All
documents are provided in Adobe Acrobat format. Acrobat is free software
that can be obtained from www.adobe.com, and comes pre-installed with
most browsers and operating systems. If you do not have Adobe Acrobat,
you can get it by clicking on the logo at right.
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