Please include your completed client intake form. Download the form by pressing on the icon.

Assignment of Benefits

The Assignment of benefits signed, on or near the commencement of treatment, by the patient or injured party’s parent, if a minor.

Bills and Expenses

Bill(s) for unpaid treatments, services, or supplies. The charges must be reasonable, and we fight for Billed Amount differentials and payment on the codes denied at the fee schedule.

Proof of Mailing

Proof of mailing for the bill(s) such as Green cards or USPS priority mail receipts.

Proof of Answers

Proof of mailing for the bill(s) such as Green cards or USPS priority mail receipts.

Patients' Full Medical File

There is no such thing as too much information. A complete file is medical records, billing records, mailing records, and fax confirmations.