We provide high quality psychiatric and clinical services to our community.
Bio-Behavioral Medical Clinics, Inc.
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FORMS/INFO
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New Patient Forms
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Referral Forms
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Provider Information
USING THE FORMS
To utilize our forms, you will need Adobe Acrobat®. Press the icon to acquire.
Please print the form, complete as requested, and FAX to 559/437-1118.
Provider Information
The information below is to assist providers with patient authorizations and requests for additional services. Please download as appropriate.
If you have any questions, don't hesitate to call 559/437-1111 for clarification.
1.
Information on securing authorizations for Medicare patients within Sante IPA
2.
Request for Additional Treatment
(Form for use with Sante IPA patients. When completed, please FAX back to BBMC at 559/437-1118.)
© Bio-Behavioral Medical Clinics, Inc., 2012. All rights reserved.
