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- Expect visit to last 2 to 4 hours to allow time for imaging, physician evaluation and possible therapy intervention.
- BWC claim # and allowed ICD-9 codes
- Claim status
- Previous evaluations
- Previous imaging
- Physician of record contact info
- How did you find us? (Referral source)
- Employer name and contact information
- Job description
- MEDCO-14
- Disposition for Return to Work or Restrictions
- List of medications
- BWC documentation requirement
- Please give at least a 24 hour notice for any cancellation. There is a $50.00 cancellation fee for all no-shows and cancellations less than 24 hours before set appointment.
