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HOW TO ORDER
Downloadable pdf below:
Once complete, attached clinical notes, demographics, and insurance information.
Fax information to: 561-258-8154
Electronic Orders MUST Include:
Demographics / Insurance
Duration of Study
Diagnosis Code(s)
Previous EEG Reports (if applicable)
Clinical/Encounter Notes
Physicians Signature
Please Fax Electronically to 561.258.8154
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