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Downloadable Forms -
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The following forms may help you in your
endeavor to stay compliant and run a
more efficient practice.
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They are yours to use.

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Most of our forms are available in
either Microsoft Word format or Adobe
Acrobat PDF format.

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If you have the Adobe Acrobat plug-in
installed, you can view the PDF files directly via
your web browser.

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In order to use the PDF documents you need to have the latest version of Adobe Acrobat Reader installed on your computer. Acrobat Reader is free software that allows you to read and print PDF files.

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To get the current version of Adobe Acrobat Reader,
<-- click here.

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Form Descriptions
Available
File Formats
1999 E/M doc
E/M documentation basics
Download as MS Word Download as PDF
ABN Instructions
Do you know how to correctly use the ABN?
Download as MS Word Download as PDF
Code of Ethics
Medical Billing Ethics statement
Download as MS Word Download as PDF
Consent
Sample consent form for office procedures
Download as MS Word Download as PDF
Financial Hardship Form
Document financial Hardship prior to write-offs
Download as MS Word Download as PDF
Health History Form
Save time, use our form
Download as MS Word Download as PDF
HIPAA Consent
Sample HIPAA consent form. Are you ready?
Download as MS Word Download as PDF
Medicare ABN
Updated Advanced Beneficiary Notification Form
Download as MS Word Download as PDF
Medicare Covered Benefits
N/A Download as PDF
Review of Systems Form
Feel free to use it
Download as MS Word Download as PDF
Workers Comp Info sheet
Get all the information you need to effectively bill workman's compensation claims
Download as MS Word Download as PDF
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508-866-3028 phone
866-262-4460 fax
kjeghers@compliantbilling.com

 

   
 
 
 

 


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