Forms to download
RECENTLY UPDATED FORMS FOR 2008
TODAY's New Patient 2008
Script For New Client Phone Inquiries 1-2008
Refund Policy 2008.pdf
New Patient Inquiry Form 2008
Is Insurance an Option Letter 2008
Financial Agreement Worksheet 2008
Financial Agreement Example 2008
Financial Agreement 2008
Financial Agreement Medicare 2008
BIA position on 97530 codes 2008
BIA New PT Encounter Form 2008
BIA insurance verification and estimate form 2008
BIA DRX coding for Treatment Protocol 2008
INITIAL INQUIRY
DRX
Inquiry Interview.pdf
CONSULTATION
FOR PATIENT
Patient
Registration.pdf
Patient
Registration Spanish.pdf
Patient History
HIPAA
FOR DOCTOR
Consultation Record.pdf
FOR FRONT OFFICE
Comprehensive Program 5.15.07
DRX Fee Schedule
Financial
Agreement 5.15.07
Financial
Agreement Lumbar Only
Health
Insurance Verification
NEW PATIENT
Patient
Responsibility Agreement.pdf
Patient Consent.pdf
Pain
Scale.pdf
FOR MEDICARE PATIENT
ABN
Medicare
FOR TRICARE PATIENT
Tricare Form
FOR DOCTOR
How
To Score Oswestry.pdf
Patient
Examination.pdf
FROM FRONT OFFICE
Patient Welcome
DRX PATIENT DAILY INFORMATION
Daily
Fee Slip.pdf
Travel
Card Front.pdf
Daily
Progress Notes.pdf
REEVALUATION
FOR PATIENT
Progress Examination.pdf
PT Eval Form.pdf
FOR DOCTOR/ EVALUATOR (testing re-evaluation)
Patient Re-Evaluation and follow-up
FOR DOCTOR (formal review)
Re_Exam
Doctor Form.pdf
FOLLOW UP
My
DRX Story
OTHER
BIA Mailing lables- size 5164
BIA Brochure Labels-size 5162
FAX
Geographic Adjustment Factors by State
PRACTICE MANAGEMENT
BIA Daily Stats
Daily log for DRX Inquiries
BIA Success Systems Yearly Growth
Staff Meeting Agenda
Practice Statistics
RESEARCH ARTICLES
Dose Response
FDA Clearance
Hoang Proceedings
NASA Doc 102306
Patent Letter
Mayo Pilot Study
REHAB
Core- 1
Core- 2
Core- 3
BIA PATIENT PROTOCOLS
Lumbar TX Protocol |
