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Alternative Form Notice Of Personal Chiropractic Or Personal Acupuncturist If your employer or your employer s insurer does not have a Medical Provider Network, you may be able to change your treating
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Alternative form notice is a different version of a notice that serves the same purpose.
Entities or individuals who are not able to file the regular form notice are required to file the alternative form notice.
To fill out the alternative form notice, provide all required information accurately and submit it by the deadline.
The purpose of the alternative form notice is to provide an alternative option for filing a notice when the regular form is not usable.
The alternative form notice must include all relevant information required for the specific notice being filed.
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