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Credit/Charge/Debit Card Preauthorization
Please note that this form will be securely stored in your clinical file.
I authorize Rhonda Taylor MA, MFT to keep my signature on file and to charge therapy
session
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Online Monte Nido Medical refers to the digital platform used for managing and submitting medical documentation and claims associated with Monte Nido treatment services.
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Patients receiving services from Monte Nido facilities, healthcare providers, and insurance companies that require submission of medical documentation are typically required to file online.
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Information required typically includes patient identification details, treatment dates, type of services rendered, diagnosis codes, and any additional documentation as needed.
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