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Before Adjustment

Article:		Introduction:	Link:
Pregnancy Waiver Prior to Adjustment		All women of reproductive age are required to sign a waiver stating that they are not pregnant, or that they have had an opportunity to ask questions to their physician and are aware of any side effects that can occur if they are pregnant.	view
Please Bring to Your Adjustment Appointment		Bring With You: Current Insurance Information & Card Cash, Credit Card, or co-pay funds Name, Phone #, & Fax # of any referring physicians for correspondence Date of the last prior adjustment, if any Know which type of band you have implanted (if this is not clear contact your surgeon or facility where surgery was performed for this information and keep it in a personal file)	view

Article:

Introduction:

Link:

All women of reproductive age are required to sign a waiver stating that they are not pregnant, or that they have had an opportunity to ask questions to their physician and are aware of any side effects that can occur if they are pregnant.

view

Please Bring to Your Adjustment Appointment

Bring With You:

Current Insurance Information & Card
Cash, Credit Card, or co-pay funds
Name, Phone #, & Fax # of any referring physicians for correspondence
Date of the last prior adjustment, if any
Know which type of band you have implanted (if this is not clear contact your surgeon or facility where surgery was performed for this information and keep it in a personal file)

view

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Before Adjustment

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