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Members of SHS Surplus Lines Sierra Specialty Insurance Inc. 234 Clovis Ave. Clovis CA 93612 Toll Free 844-874-3772 www. Prior professional liability insurance carrier 28. Indicate all services applicable Any invasive procedure Psychiatric Shock Therapy Catheterization Obstetrical/Gynecological Feeding Tube Maintenance X-rays Any procedures not supported by the American Medical Association procedures that are experimental are not used as prescribed by the AMA or are unsupported by AMA...
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11-07 - special needs is a form used to request special accommodations or services for individuals with specific needs.
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The purpose of 11-07 - special needs is to ensure that individuals with special needs receive the necessary accommodations or services to participate fully in activities.
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