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Pre-Collect Forms
You will need the following information for each client on the accounts:
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New client information forms (contracts, patient forms, service agreements, etc)
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Financial disclaimer which allows our office to add collection and / or attorney fees
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Full name
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Date(s) of service
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An itemized statement of billing which includes balance due
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Social security number
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Date of birth
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Address
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Home phone number
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Cell phone number
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Work / Alternate phone number
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