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cold laser therapy
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ASN NETWORK COLD LASER THERAPY APPOINTMENT
 
ASH Network logo Tm.   COLD LASER THERAPY

There will be charge which includes your required co-insurance, convenience fee and patient's responsability at the time your appointment is made.

IF YOUR COPAY IS:
   
IF YOUR COPAY IS :
$35.00
   
$15.00
PATIENT RESPOSABILITY IS
   
PATIENT RESPOSABILITY IS
$30.00
   
$20.00
$65.00
TOTAL
TOTAL
$55.00

 

We require a credit card on file in order to reserve your appointment. Your credit card will NOT be charged until the day of your appointment.

There is a non-refundableÊ $45.00 charge if 24 hour cancellation notice is not given. There is NO charge for rescheduling your appointment 24 hours in advance. Please follow your Recommended Care Plan.

 

   

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First Alternative Chiropractic©
www.GalleriaChiro.com©
September 16, 2007