Liebermanbacktohealthchiro.com

Back to Health ChiropracticDonna Lieberman, DC & Howard …

Webphone (607) 753 1884 fax (607) 753 1540 email [email protected]. Hours: Monday through Friday 9AM-1PM. Monday & Wednesday 2:30-7PM.

Actived: 8 days ago

URL: http://liebermanbacktohealthchiro.com/index.html

Insurance + Policies

WebPlease call your carrier to verify your plan's coverage. A few carriers require referral from a primary care doctor or prior authorization. You're welcome to contact our office in …

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Back To Health Chiropractic MEDICARE Cortland, N.Y. 13045 …

WebBack To Health Chiropractic MEDICARE page 1 10 Groton Avenue Cortland, N.Y. 13045 Tel: (607) 753-1884 Fax: (607) 753-1540

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information, this includes Medical Record Information

WebBack To Health Chiropractic Patient Privacy Form 10 Groton Ave Cortland, NY 13045 Name_____ Your Emergency Contact is _____ Phone# _____

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Back To Health Chiropractic NO INSURANCE 10 Groton …

WebBack To Health Chiropractic NO INSURANCE 10 Groton Avenue Cortland, N.Y. 13045 Tel: (607) 753-1884 Fax: (607) 753-1540 Patient Name: _____ D.O.B. _____ M/F

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BACK TO HEALTH CHIROPRACTIC PATIENT PRIVACY NOTICE …

Webback to health chiropractic patient privacy notice this notice describes how medical information about you may be used and disclosed and how you can get access to that …

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BACK TO HEALTH CHIROPRACTIC WORKER’S …

Webback to health chiropractic worker’s compensation histor y (addendum to c3) name:_____ age____ cell phone#: _____ e-mail _____

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NEW YORK STATE DEPARTMENT OF HEALTH

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