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Salveo Integrative Health 311 Gwinnett Drive Lawrenceville GA 30046 Phone 770-910-9196 Fax 770-910-9197 Patient Name Date of Birth SSN Address City State Zip Home Phone Mobile Preferred Pharmacy Name Phone PARENT INFORMATION Name Birthdate SSN e mail address Responsible Party Same as above Relationship to patient Work Phone Mobile e mail address Employer Insurance Primary Insured s Name SSN -- ID Number DOB Secondary Updated 12/2016 Treatment Consent/Authorization for Disclosure Consent to...
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What is salveo integrative health?
Salveo Integrative Health is a healthcare facility that focuses on treating the whole person, including physical, mental, emotional, and spiritual aspects of health.
Who is required to file salveo integrative health?
Salveo Integrative Health must be filed by healthcare providers and facilities that offer integrative health services to their patients.
How to fill out salveo integrative health?
Salveo Integrative Health can be filled out by providing information about the services offered, patient demographics, treatment modalities used, and outcomes achieved.
What is the purpose of salveo integrative health?
The purpose of Salveo Integrative Health is to provide comprehensive and holistic care to patients, addressing all aspects of their health and well-being.
What information must be reported on salveo integrative health?
Information such as patient demographics, services provided, treatment outcomes, and any additional integrative health modalities used must be reported on Salveo Integrative Health.
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