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Policy, Procedures, and Forms

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Policy, Procedures & Forms

Click on the items below to download forms. 

Release of Information Form

Review Our Policies and Procedures

Download Intake Forms

Billing/Insurance Questions

Contact Vanessa for any Billing and Insurance related questions. Find the contact information below. 

  • Email: Vanessa@medicalpayment.info
  • Call:(773) 562 2850
  • Fax: 773 - 912 - 6727
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