Chronic Care Management Patient AgreementManagement Patient Agreement • July 14th, 2021
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Chronic Care Management Patient AgreementManagement Patient Agreement • January 23rd, 2019
The services provided by the Chronic Care Management Program are: ● 24 hour access to the care team ● priority access to the provider for urgent appointments ● organized review and scheduling of all preventative care ● medication review and oversight ● creation of a personalized care plan to assure care is provided in a way that fits my choices and values
Chronic Care Management Patient AgreementManagement Patient Agreement • August 14th, 2015
Medicare is offering a new benefit for beneficiaries with multiple chronic conditions, and by consenting to this agreement, you allow (“Provider”) to provide chronic care management services to you.
Suboxone Therapy for Addiction Treatment or Chronic Pain Management PATIENT AGREEMENTManagement Patient Agreement • November 12th, 2013
The purpose of this agreement is to protect your access to controlled substances and to protect our ability to treat you.Our practice follows the guidelines of the American Society of Addiction Medicine and adheres to a strict anti-diversion policy.
Chronic Care Management Patient AgreementManagement Patient Agreement • August 21st, 2019
As a patient with two or more chronic conditions, you may benefit from the Chronic Care Management program that NAB-Life Health offers all Medicare patients. Our goal is to make sure you get the best care possible. Your assigned clinician in charge of your care is Stephen Mosley PA-C. Sometimes other staff from our practice will talk to you or handle issues related to your care, but your assigned clinician will supervise all care provided by our staff.
