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Knee / Disability / Podiatry / Arthroscopy / Endoscopy / Knee brace / Medial meniscus / Meniscus / Orthotics / Medicine / Anatomy / Orthopedic surgery


New Patient Referral Fax Sheet For prompt processing, please fax the following to[removed] • Copy of the Rx • Patient demographics • Both sides of the patient’s insurance card • Patient referral form
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Document Date: 2012-11-08 15:31:18


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File Size: 152,79 KB

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City

Tempe / /

Company

Otto Bock Orthopedic Services LLC / To O ttobock Co. / /

/

IndustryTerm

insurance card / prompt processing / /

MedicalCondition

Osteoarthritis / Injury / Osteoarthrosis / Sprain rotator cuff shoulder Disease / /

MedicalTreatment

cold therapy / Rotator Cuff Repair / TENS / /

OperatingSystem

XP / /

Person

Walker Boot / /

/

Position

Physician / Walker / /

ProvinceOrState

Arizona / /

URL

www.ottobockus.com / /

SocialTag